Provider Demographics
NPI:1316977572
Name:DAVIS, JOYCE CHERYL (MD)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:CHERYL
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 5TH AVENUE
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003
Mailing Address - Country:US
Mailing Address - Phone:212-242-3066
Mailing Address - Fax:212-242-3081
Practice Address - Street 1:69 5TH AVENUE
Practice Address - Street 2:SUITE 1A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003
Practice Address - Country:US
Practice Address - Phone:212-242-3066
Practice Address - Fax:212-242-3081
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2017-05-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY142485207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
87A671Medicare ID - Type Unspecified