Individual
CLARA DAVINA JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1055 PINEBROOK BLVD, NEW ROCHELLE, NY 10804-1827
(718) 828-2666
Mailing address
1055 PINEBROOK BLVD, NEW ROCHELLE, NY 10804-1827
(718) 828-2666
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
298169
NY
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
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