Individual
RAHEEMAN JOY FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
561 E 82ND ST, BROOKLYN, NY 11236-3118
(646) 322-8385
Mailing address
561 E 82ND ST, BROOKLYN, NY 11236-3118
(646) 322-8385
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
437958-1
NY
Other
Enumeration date
02/04/2018
Last updated
02/04/2018
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