Individual
MISS STEPHANIE PULIKKOTTIL JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-7575
Mailing address
10680 MEDLOCK BRIDGE RD STE 101, JOHNS CREEK, GA 30097-8420
(725) 209-3053
(855) 927-7788
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
307576
NY
208100000X
Physical Medicine & Rehabilitation Physician
A137779
CA
Other
Enumeration date
07/15/2011
Last updated
09/26/2025
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