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Individual

KEVIN JOSEPH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1496
(718) 470-7000
Mailing address
68 S SERVICE RD STE 350, MELVILLE, NY 11747-2358
(516) 945-3000

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
675252-1
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
132337
NY

Other

Enumeration date
03/29/2021
Last updated
06/28/2021
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