Individual
JIGI JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8045 WINCHESTER BLVD, BLDG 73, QUEENS VILLAGE, NY 11427-2193
(718) 264-3410
Mailing address
8045 WINCHESTER BLVD, BLDG 73, QUEENS VILLAGE, NY 11427
(718) 264-3410
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
494693
NY
Other
Enumeration date
05/12/2014
Last updated
05/12/2014
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