Individual
DR. HAROLD THIBOU JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12 NEW LANE, SELDEN, NY 11784-3322
(631) 451-0200
(631) 716-1984
Mailing address
12 NEW LANE, SELDEN, NY 11784-3322
(631) 451-0200
(631) 716-1984
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
096052
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00160090
—
NY
Enumeration date
03/29/2007
Last updated
08/04/2008
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