Provider Demographics
NPI:1699437376
Name:DELORENZO, JOY (ATC)
Entity type:Individual
Prefix:MS
First Name:JOY
Middle Name:
Last Name:DELORENZO
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 WIGGINS ST
Mailing Address - Street 2:
Mailing Address - City:LK RONKONKOMA
Mailing Address - State:NY
Mailing Address - Zip Code:11779-4113
Mailing Address - Country:US
Mailing Address - Phone:631-827-0947
Mailing Address - Fax:
Practice Address - Street 1:145 MARSHALL DR
Practice Address - Street 2:
Practice Address - City:SELDEN
Practice Address - State:NY
Practice Address - Zip Code:11784-2349
Practice Address - Country:US
Practice Address - Phone:631-827-0947
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-09
Last Update Date:2021-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer