Individual
MELISSA JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18 BIRCHBROOK DR, SMITHTOWN, NY 11787-3602
(631) 827-9816
Mailing address
18 BIRCHBROOK DR, SMITHTOWN, NY 11787-3602
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
719369
NY
Other
Enumeration date
06/12/2019
Last updated
10/06/2021
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