Individual
JOSEPH PERSONELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(516) 640-6402
Mailing address
10 COTTAGE PL APT 12F, WHITE PLAINS, NY 10601-1513
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383746
NY
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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