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Marie C Joseph, lpn

Licensed Practical Nurse in Deer Park, NY. Individual provider (NPI-1).

NPI number1285920439
StatusActive
Last updated in NPPESJun 27, 2011

Details

NPI
1285920439
Entity type
Individual (NPI-1)
Name
Mrs. Marie C Joseph
Credential
lpn
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 27, 2011
Last updated
Jun 27, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse300771NYYes

Practice location

105 Bowling Ln
Deer Park, NY 11729-6724

Phone 646-641-4066

Mailing address

105 Bowling Ln
Deer Park, NY 11729-6724

Phone 646-641-4066

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