Individual
NIA JOSIAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
138 S COLUMBUS AVE STE 2, MOUNT VERNON, NY 10553-1337
(301) 200-1777
Mailing address
17 AVE AT PORT IMPERIAL APT 433, WEST NEW YORK, NJ 07093-7028
(240) 529-7233
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R246281
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F405041-01
NY
Other
Enumeration date
12/14/2021
Last updated
07/24/2023
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