Individual
LIZETTE JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
147 BUSCHER AVE, VALLEY STREAM, NY 11580-5305
(917) 943-3371
Mailing address
147 BUSCHER AVE, VALLEY STREAM, NY 11580-5305
(917) 943-3371
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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