Basic Information
| Provider Information | |||||||||
| NPI: | 1548665656 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LITTLE | ||||||||
| FirstName: | JOYCE | ||||||||
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| Credential: | LMSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1037 MAIN ST | ||||||||
| Address2: | HUDSON RIVER HEALTHCARE, INC. | ||||||||
| City: | PEEKSKILL | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105662913 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9147348800 | ||||||||
| FaxNumber: | 9147348786 | ||||||||
| Practice Location | |||||||||
| Address1: | 550 MONTAUK HWY | ||||||||
| Address2: | HUDSON RIVER HEALTHCARE, INC. | ||||||||
| City: | SHIRLEY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 119672114 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6314903040 | ||||||||
| FaxNumber: | 6313956340 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/31/2014 | ||||||||
| LastUpdateDate: | 10/31/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | 087339 | NY | Y | Behavioral Health & Social Service Providers | Social Worker |
No ID Information.