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NPI Code Detail

MEDICARE: CARLINE JOSEPH

MEDICARE: CARLINE JOSEPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse PractitionerF303396-1NY

General Provider Information

NPI Number : 1528144201
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLINE JOSEPH
Provider Business Mailing Address
First Line : 496 MARSHALL CT
Second Line :
City : UNIONDALE
State : NY
Zip : 11553-2112
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2266 CROPSEY AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-5706
Country : US
Telephone Number : 718-266-6100
Fax Number : 718-266-7437
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2006
Last Update Date : 07/08/2007

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Directions to “ CARLINE JOSEPH ” Practice Location

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