Provider Demographics
NPI:1154604684
Name:OVERZAT, JOY (RN)
Entity type:Individual
Prefix:MRS
First Name:JOY
Middle Name:
Last Name:OVERZAT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 THOMPSON AVE
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10603-3346
Mailing Address - Country:US
Mailing Address - Phone:914-831-7476
Mailing Address - Fax:
Practice Address - Street 1:850 MAMARONECK AVE
Practice Address - Street 2:
Practice Address - City:MAMARONECK
Practice Address - State:NY
Practice Address - Zip Code:10543-1934
Practice Address - Country:US
Practice Address - Phone:914-220-3610
Practice Address - Fax:914-220-3611
Is Sole Proprietor?:No
Enumeration Date:2011-09-21
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY22 527035163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool