Individual
JOYCE GERTRUDE GHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
15905 UNION TPKE, FRESH MEADOWS, NY 11366-1950
(718) 906-6700
(718) 906-6805
Mailing address
15905 UNION TPKE, FRESH MEADOWS, NY 11366-1950
(718) 906-6700
(718) 906-6805
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
251026
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
251026
LICENSE
NY
Enumeration date
04/24/2009
Last updated
07/21/2022
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