Individual
JOSEPH CASE JEAN CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
81 LOUDEN AVE, AMITYVILLE, NY 11701-2736
(631) 478-4538
Mailing address
845 TAFT ST, WEST HEMPSTEAD, NY 11552-3824
(516) 709-0120
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F406030-01
NY
Other
Enumeration date
12/07/2024
Last updated
12/07/2024
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