Individual
DAISY JOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7326 263RD ST, GLEN OAKS, NY 11004-1006
(631) 478-3885
Mailing address
7326 263RD ST, GLEN OAKS, NY 11004-1006
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
310076
NY
Other
Enumeration date
12/29/2015
Last updated
12/29/2015
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