Healthcare Provider Details
I. General information
NPI: 1295936474
Provider Name (Legal Business Name): JOSEPH EDWIN MAY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/29/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
152 E MAIN STREET SUITE E
HUNTINGTON NY
11743-2958
US
IV. Provider business mailing address
152 E MAIN STREET SUITE E
HUNTINGTON NY
11743-2958
US
V. Phone/Fax
- Phone: 631-423-2228
- Fax: 631-351-7038
- Phone: 631-423-2228
- Fax: 631-351-7038
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RA0201X |
| Taxonomy | Allergy & Immunology (Internal Medicine) Physician |
| License Number | 120078 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: