Individual
ANNABELLE JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4200 AVENUE K, BROOKLYN, NY 11210-4949
(646) 379-9968
Mailing address
4200 AVENUE K, BROOKLYN, NY 11210-4949
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
340007
NY
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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