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NPI Code Detail

MEDICARE: JOYCE JOANNE MADUMEYE

MEDICARE: JOYCE JOANNE MADUMEYE
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
1163WP0808XPsychiatric/Mental Health Registered Nurse472180NY

General Provider Information

NPI Number : 1417508516
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOYCE JOANNE MADUMEYE
Provider Business Mailing Address
First Line : 191 WILLOUGHBY ST APT 16G
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-5444
Country : US
Telephone Number : 917-613-7242
Fax Number :
Provider Business Practice Location Address
First Line : 681 CLARKSON AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-2199
Country : US
Telephone Number : 718-221-7055
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2019
Last Update Date : 09/20/2019

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Directions to “ JOYCE JOANNE MADUMEYE ” Practice Location

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