Individual
MR. DAVID EARLE JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10935 131ST ST, SOUTH OZONE PARK, NY 11420-1617
(718) 564-0785
Mailing address
10935 131ST ST, SOUTH OZONE PARK, NY 11420-1617
(718) 564-0785
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
311540
NY
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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