Individual provider · NPI-1

Dr. Joy Lynette Black, M.D.

Family Medicine · Middletown, NY

NPI number1669674222
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1669674222
Entity type
Individual (NPI-1)
Name
Dr. Joy Lynette Black
Credential
M.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 4, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine186221-1NYYes

Practice location

825 Route 211 E
Middletown, NY 10941-1443

Phone 845-692-8338 · Fax 845-692-6177

Mailing address

57 Overhill Rd
Middletown, NY 10940-2936

Phone 845-343-8962 · Fax 845-343-9088

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