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
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