Individual
ANU JOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3075 VETERANS MEMORIAL HWY, SUITE 101, RONKONKOMA, NY 11779-7667
(631) 805-2850
Mailing address
3075 VETERANS MEMORIAL HWY, STE 101, RONKONKOMA, NY 11779-7600
(631) 389-4640
(631) 670-6475
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
039236
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
039236
NY LIC #
NY
Enumeration date
05/01/2017
Last updated
05/04/2017
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