Individual
DR. JOSHUA N KNICKERBOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, APRN, NP-C
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510
(203) 815-0604
Mailing address
422 WESTLAND AVE, CHESHIRE, CT 06410-3142
(203) 815-0604
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
7655
CT
363LF0000X
Family Nurse Practitioner
Primary
7655
CT
Other
Enumeration date
06/30/2018
Last updated
07/30/2018
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