Individual
MRS. JOY ANNMARIE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
411 E 52ND ST, BROOKLYN, NY 11203-4403
(347) 496-1572
Mailing address
411 E 52ND ST, BROOKLYN, NY 11203-4403
(347) 496-1572
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87-3845373
—
NY
Enumeration date
01/21/2022
Last updated
01/21/2022
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