Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 240991 | NY |
NPI | 1073536702 |
---|---|
Provider Name | Julie Joseph |
First Address | New York, NY 10032-3725 |
Second Address | New York, NY 10034-1159 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 29/05/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02805067 | (05) | NY |
OTH000 | (02) | NY |