Individual
DR. MARK C JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1509 ROCKAWAY PKWY, BROOKLYN, NY 11236
(718) 927-0027
(516) 791-6529
Mailing address
54 LAFAYETTE PL, WOODMERE, NY 11598-2138
(516) 374-8759
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
215069
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02059052
—
NY
Enumeration date
12/05/2006
Last updated
03/11/2009
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