Individual
DEIDRA JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 WYCKOFF PL, WOODMERE, NY 11598-2130
(516) 569-0213
Mailing address
10 WYCKOFF PL, WOODMERE, NY 11598-2130
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/12/2016
Last updated
01/12/2016
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