Individual
DR. ANTONIO JOSEPH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
22414 MERRICK BLVD, LAURELTON, NY 11413-2023
(718) 949-6433
(718) 949-0331
Mailing address
PO BOX 516, VALLEY STREAM, NY 11582-0516
(516) 285-2850
(516) 285-0038
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
176371
NY
207RN0300X
Nephrology Physician
Primary
176371
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01305348
—
NY
Enumeration date
11/25/2005
Last updated
06/10/2021
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