Individual
JOSEPH P MOUALLEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, JD
Contact information
Practice address
26 COURT ST STE 2125, BROOKLYN, NY 11242-1136
(212) 757-7732
(646) 354-7629
Mailing address
135 AMITY ST APT 3B, BROOKLYN, NY 11201-6115
(212) 757-7732
(646) 354-7629
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
294231
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6372780
AETNA STUDENT HEALTH
NY
Enumeration date
04/26/2016
Last updated
03/19/2024
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