Individual
JOQUETTA D PAIGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
726 BROADWAY FL 4, NEW YORK, NY 10003-9580
(212) 443-1231
Mailing address
1012 E GUN HILL RD, BRONX, NY 10469-3720
(718) 918-8850
(718) 918-8885
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
236323
NY
Other
Enumeration date
11/08/2006
Last updated
05/26/2021
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