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NPI Code Detail

MEDICARE: JOY CARE PT, PLLC

MEDICARE: JOY CARE PT, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist026764NY

General Provider Information

NPI Number : 1336526169
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOY CARE PT, PLLC
Provider Business Mailing Address
First Line : 3 EAST DR
Second Line :
City : WOODBURY
State : NY
Zip : 11797-2102
Country : US
Telephone Number : 646-807-3422
Fax Number : 646-200-5064
Provider Business Practice Location Address
First Line : 35 ROOSEVELT AVE
Second Line :
City : SYOSSET
State : NY
Zip : 11791-3061
Country : US
Telephone Number : 646-807-3422
Fax Number : 646-200-5064
Authorized Official
Title or Position : PRESIDENT/ OWNER
Name : VICTOR GAD
Credential : PT
Telephone Number : 646-577-1054
Provider Enumeration Date : 04/30/2015
Last Update Date : 04/30/2015

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