Healthcare Provider Details

I. General information

NPI: 1891659462
Provider Name (Legal Business Name): JOSEPH PSYCHIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1575 HILLSIDE AVE
NEW HYDE PARK NY
11040-2521
US

IV. Provider business mailing address

31 COVERT AVE STE 5
FLORAL PARK NY
11001-3216
US

V. Phone/Fax

Practice location:
  • Phone: 516-200-1835
  • Fax:
Mailing address:
  • Phone: 516-200-1835
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. AMANDA JOSEPH
Title or Position: FOUNDER/MEDICAL DIRECTOR
Credential: MD
Phone: 516-200-1835