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Individual

WAVENEY JOSEPH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
892 E 94TH ST, BROOKLYN, NY 11236-2004
(347) 262-6724
Mailing address
892 E 94TH ST, BROOKLYN, NY 11236-2004
(347) 262-6724

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
247896-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05
NY
Enumeration date
06/14/2017
Last updated
07/21/2022
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