MEDICARE: RASHIDA 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
1	104100000X	Social Worker	000949	CT

General Provider Information

NPI Number	:	1194117283
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RASHIDA JOSEPH

Provider Business Mailing Address
First Line	:	1029 E 229TH ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10466-4807
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1029 E 229TH ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10466-4807
Country	:	US
Telephone Number	:	646-228-4154
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2015
Last Update Date	:	02/26/2015

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Directions to “ RASHIDA JOSEPH ” Practice Location

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