MEDICARE: JOYCE BREEDLOVE

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
1	164W00000X	Licensed Practical Nurse	292908	NY

General Provider Information

NPI Number	:	1811348212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOYCE BREEDLOVE

Provider Business Mailing Address
First Line	:	2186 GRAND CONCOURSE
Second Line	:	1G
City	:	BRONX
State	:	NY
Zip	:	10457-2004
Country	:	US
Telephone Number	:	347-755-8861
Fax Number	:

Provider Business Practice Location Address
First Line	:	2186 GRAND CONCOURSE
Second Line	:	1G
City	:	BRONX
State	:	NY
Zip	:	10457-2004
Country	:	US
Telephone Number	:	347-755-8861
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2016
Last Update Date	:	11/17/2017

Similar Medicare Providers

1508228511 — SANDRA OPPONG
Practice Location Address:

2004 LAFONTAINE AVE , FLOOR 3
BRONX, NY
10457-4700

Practice Phone: 646-359-3998
Practice Fax:

1528919412 — MRS. NENE HORSFALL RN
Practice Location Address:

3485 FENTON AVE , GA
BRONX, NY
10469-2004

Practice Phone: 347-786-0757
Practice Fax:

1518040971 — MS. SANCHIA SAMANTHA PALMER LCSW
Practice Location Address:

3600 FIELDSTON RD , 3D
BRONX, NY
10463-2004

Practice Phone: 917-586-7649
Practice Fax:

1467585109 — DR. HELEN VERONICA QUINONES PH.D.
Practice Location Address:

3600 FIELDSTON RD , SUITE 3D
BRONX, NY
10463-2004

Practice Phone: 718-796-1603
Practice Fax:

1386845543 — DR. KERN HO LEE D.D.S..
Practice Location Address:

3600 FIELDSTON RD , 2C
BRONX, NY
10463-2004

Practice Phone: 718-884-2600
Practice Fax: 718-543-2028

1497993323 — KATHY SOMMERICH LCSW
Practice Location Address:

3600 FIELDSTON RD , 3D
BRONX, NY
10463-2004

Practice Phone: 917-774-7002
Practice Fax:

Directions to “ JOYCE BREEDLOVE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.