Healthcare Provider Details

I. General information

NPI: 1629393822
Provider Name (Legal Business Name): JOYCE WU PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2010
Last Update Date: 03/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1275 YORK AVE
NEW YORK NY
10065-6007
US

IV. Provider business mailing address

3525 61ST ST
WOODSIDE NY
11377-2145
US

V. Phone/Fax

Practice location:
  • Phone: 212-639-8966
  • Fax:
Mailing address:
  • Phone: 718-779-4913
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number050674-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number050674-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: