Individual
JANNAKIE J JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-1000
Mailing address
475 MAIN ST APT 13C, NEW YORK, NY 10044-0093
(646) 851-9385
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F309549
NY
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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