Individual
MR. ANTHONY NICODEMUS JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1055 PINEBROOK BLVD, NEW ROCHELLE, NY 10804-1827
(646) 294-3696
Mailing address
1055 PINEBROOK BLVD, NEW ROCHELLE, NY 10804-1827
(646) 294-3696
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
84343
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XXXXXXXXXX
—
NY
Enumeration date
07/26/2012
Last updated
07/26/2012
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