Individual
ANNICK JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 BALMORAL DR, CHESTNUT RIDGE, NY 10977-6915
(914) 980-7623
Mailing address
30 BALMORAL DR, CHESTNUT RIDGE, NY 10977-6915
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
285094
NY
Other
Enumeration date
07/20/2012
Last updated
07/20/2012
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