Individual
SHELLY-ANN LENORE JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERT. HAIR LOSS SPT.
Contact information
Practice address
375 ROCKAWAY AVE, BROOKLYN, NY 11212-5635
(347) 452-2732
Mailing address
664 RIVERDALE AVE, BROOKLYN, NY 11207-5852
(347) 542-2732
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
NY
Other
Enumeration date
12/08/2018
Last updated
12/08/2018
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