Provider Demographics
NPI:1770463655
Name:JOY, BANEET
Entity type:Individual
Prefix:MRS
First Name:BANEET
Middle Name:
Last Name:JOY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 BEDFORD AVENUE
Mailing Address - Street 2:
Mailing Address - City:NEWHYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-1104
Mailing Address - Country:US
Mailing Address - Phone:929-494-9077
Mailing Address - Fax:
Practice Address - Street 1:61 BEDFORD AVE
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-5144
Practice Address - Country:US
Practice Address - Phone:718-264-4470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY779339163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health