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Organization
JOSEPH & DESROCHES MD PC
Active
Organization
JOSEPH & DESROCHES MD PC
Active
Other names
Nephrology & Hypertension Consultants of Long Island & Queens
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIO JOSEPH JR. MD (PARTNER)
(516) 285-2850
Entity
Organization
Contact information
Practice address
1975 LINDEN BLVD, SUITE 105, ELMONT, NY 11003-4004
(516) 285-2850
Mailing address
PO BOX 516, VALLEY STREAM, NY 11582-0516
(516) 285-2850
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
172523
NY
174400000X
Specialist
Primary
176371
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G361
BLUE CROSS & BLUE SHIELD
NY
05
—
01305348
—
NY
05
—
01305357
—
NY
01
—
164450
ELDERPLAN
—
01
—
172523
LICENSE
NY
01
—
172523P
HEALTHCARE PARTNERS
—
01
—
172523S
HEALTHCARE PARTNERS
—
01
—
176371
LICENSE
NY
01
—
176371P
HEALTHCAREPARTNERS
—
01
—
176371S
HEALTHCARE PARTNERS
—
01
—
2501072
GHI
—
01
—
97F153
BLUE CROSS & BLUE SHIELD
NY
01
—
AS699
OXFORD
—
01
—
P1069572
OXFORD
—
Enumeration date
03/27/2007
Last updated
04/20/2008
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