| Doctor Name: | JOANNA M MIDY |
| NPI Number: | 1003238619 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | WHNP |
| License Number: | F421115-1 |
| Business Practice Address: | 1 Healthy Way Oceanside, NY - 115721551 |
| Business Phone Number: | 5166323970 |
| Business Fax Number: | |
| Mailing Address: | 1 Healthy Way, OCEANSIDE |
| State: | NY |
| Postal Code: | 115721551 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/16/2014 |
| NPI Last Update Date: | 03/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | F421115-1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |