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Individual

JOSEPH PIET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
50 SHOPRITE BLVD, ELLENVILLE, NY 12428-5632
(845) 647-4500
(845) 647-7632
Mailing address
279 MAIN ST, SUITE 204, NEW PALTZ, NY 12561-1623
(845) 255-3046
(845) 255-0236

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
216289
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02088026
NY
Enumeration date
05/11/2006
Last updated
01/20/2012
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