Individual
JOAN GAY EASTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2201 HEMPSTEAD TPKE, NASSAU UNIVERSITY MEDICAL CENTER PEDIATRICS DEPT., EAST MEADOW, NY 11554-1859
(516) 572-6177
(516) 572-5483
Mailing address
8 BARSTOW RD, SUITE 7A, GREAT NECK, NY 11021-3502
(516) 487-0250
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
083689
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
083689
LICENSE
NY
Enumeration date
10/05/2006
Last updated
07/08/2007
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