Individual
ROXANNE DEBORAH JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
115 CHAMBERS STREET, NEW YORK, NY 10007
(212) 766-4452
Mailing address
616 AUTUMN AVENUE, BROOKLYN, NY 11208
(718) 341-1034
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T00VUT5861
NY
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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