Individual
KHADIJA DEAS-JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
630 W 168TH ST, PH BUILDING RM 104, NEW YORK, NY 10032-3725
(212) 305-2000
Mailing address
630 W 168TH ST, PH BUILDING RM 104, NEW YORK, NY 10032-3725
(212) 305-2000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
008959
NY
Other
Enumeration date
03/31/2007
Last updated
12/03/2013
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