Individual
BETTY JOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7925 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427-2128
(718) 264-5700
Mailing address
1259 ARLINGTON AVE, ELMONT, NY 11003-3417
(845) 321-5203
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
744925
NY
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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