Individual
LYNDA R JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1900B RALPH AVE, BROOKLYN, NY 11234-5302
(718) 253-1366
(718) 253-5890
Mailing address
1900B RALPH AVE, BROOKLYN, NY 11234-5302
(718) 253-1366
(718) 253-5890
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/06/2016
Last updated
01/11/2016
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