Organization
ELEMENTAL FAMILY HEALTH NP RN PC
Active
Organization
ELEMENTAL FAMILY HEALTH NP RN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL THOMAS JOYCE FNP (CEO)
(973) 570-6019
Entity
Organization
Contact information
Practice address
68 HARRIS BUSHVILLE RD, HARRIS, NY 12742-1274
(973) 570-6019
Mailing address
PO BOX 591, PINE ISLAND, NY 10969-0591
(973) 570-6019
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F340764-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417048166
—
NY
Enumeration date
06/30/2017
Last updated
06/30/2017
Update your record
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