Individual
VEENA SOORAJ JOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2407 7TH ST, EAST MEADOW, NY 11554-3106
(201) 286-1095
Mailing address
7925 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427-2128
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
641976
NY
Other
Enumeration date
01/29/2018
Last updated
01/29/2018
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