Healthcare Provider Details

I. General information

NPI: 1013330786
Provider Name (Legal Business Name): JOY PAPE FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2014
Last Update Date: 11/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1165 YORK AVE
NEW YORK NY
10065-7917
US

IV. Provider business mailing address

575 LEXINGTON AVE
NEW YORK NY
10022-6102
US

V. Phone/Fax

Practice location:
  • Phone: 646-962-2111
  • Fax: 646-962-1059
Mailing address:
  • Phone: 646-962-2111
  • Fax: 646-962-1059

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF338473-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: