Individual
MS. PATRIA JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1066 CARROLL ST, BROOKLYN, NY 11225-2103
(917) 755-4915
Mailing address
1066 CARROLL STREET, BROOKLYN, NY 11225
(917) 755-4915
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
528618041
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
528618041
NEW YORK EDUCATION DEPARTMENT
NY
Enumeration date
05/28/2015
Last updated
05/28/2015
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