Individual
MRS. DOLORES JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
630 W 168TH ST, NEW YORK, NY 10032-3725
(212) 305-2500
Mailing address
604 HARRISON PL, LINDEN, NJ 07036-2653
(347) 232-0387
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
711374
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403137
NY
Other
Enumeration date
05/13/2020
Last updated
01/20/2021
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