Individual
TUNISIA JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
2441 31ST ST # 1071, ASTORIA, NY 11102-1140
(917) 403-5467
Mailing address
1137 31ST AVE APT 404S, ASTORIA, NY 11106-4789
(917) 403-5467
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
2057457261
NY
Other
Enumeration date
07/31/2026
Last updated
07/31/2026
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