Manju Joe, NP
Nurse Practitioner, Family in Middletown, NY. Individual provider (NPI-1).
NPI number1962004457
StatusActive
Last updated in NPPESNov 10, 2020
Details
- NPI
- 1962004457
- Entity type
- Individual (NPI-1)
- Name
- Manju Joe
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 10, 2020
- Certification date
- Nov 10, 2020
- Last updated
- Nov 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 345721 | NY | Yes |
Practice location
111 Maltese DrMiddletown, NY 10940-2141
Phone 845-342-4774
Mailing address
111 Maltese DrMiddletown, NY 10940-2141
Phone 845-342-4774
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