Basic Information
| Provider Information | |||||||||
| NPI: | 1518135813 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | EVOH | ||||||||
| FirstName: | JOY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 65 EDGEWOOD AVE | ||||||||
| Address2: | |||||||||
| City: | YONKERS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 107042438 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9176572878 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1400 PELHAM PKWY S BLDG 16 | ||||||||
| Address2: | |||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104611119 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7189184243 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/20/2008 | ||||||||
| LastUpdateDate: | 07/25/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WI0500X | 599209 | NY | Y | Nursing Service Providers | Registered Nurse | Infusion Therapy |
No ID Information.