Individual
JEANA JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP
Contact information
Practice address
1275 1ST AVE, NEW YORK, NY 10065-5605
(212) 639-6985
Mailing address
1275 1ST AVE, NEW YORK, NY 10065-5605
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
P338304-1
NY
Other
Enumeration date
11/02/2013
Last updated
06/03/2014
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