Individual
MR. CLEVELAND SHELTON JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
4360 FURMAN AVE APT 4H, BRONX, NY 10466-1544
(347) 346-9278
(347) 346-9278
Mailing address
4360 FURMAN AVE APT 4H, BRONX, NY 10466-1544
(347) 346-9278
(347) 346-9278
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
101777
NY
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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