Most Relevant Information
Provider Data
| NPI Number: | 1003238619 |
| Provider Name: | JOANNA M MIDY WHNP |
| Entity Type: | Individual |
| Taxonomy Code: | 163WX0003X |
| Specialty: | Registered Nurse |
| License Number: | 586552-1 |
Most Important Dates
| Enumeration Date: | 01/16/2014 |
| Last Updated: | 09/26/2016 |
Provider Practice Location
27005 76TH AVE
NEW HYDE PARK
NY
110401402
Practice Location Phone/Fax
| Phone: | 5164705304 |
| Fax: |
Provider Mailing Location
27005 76TH AVE
NEW HYDE PARK
NY
110401402
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |