Organization · NPI-2

Antoinette Cavalenes Joyce

Clinic/Center, Adult Mental Health · Staten Island, NY

NPI number1629593892
StatusActive
Last updated in NPPESApr 17, 2024

Details

NPI
1629593892
Entity type
Organization (NPI-2)
Legal business name
Antoinette Cavalenes Joyce
Organization subpart
No
Enumeration date
Aug 9, 2017
Certification date
Apr 17, 2024
Last updated
Apr 17, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0850X Clinic/Center, Adult Mental HealthR036109-1NYYes

Practice location

290 Garretson Ave
Staten Island, NY 10305-1236

Phone 718-698-3222

Mailing address

14 Colonial Ct
Staten Island, NY 10310-2806

Phone 718-442-2394

Authorized official

Antoinette Cavalenes Joyce
Owner
7186983222

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