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NPI Code Detail

MEDICARE: TASHANA JOSEPH

MEDICARE: TASHANA 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
1101YM0800XMental Health CounselorP136290NY

General Provider Information

NPI Number : 1740147768
Entity Type Code : Individual
Provider Name (Legal Business Name) : TASHANA JOSEPH
Provider Business Mailing Address
First Line : 10 CARMELLO RD # A
Second Line :
City : NEWBURGH
State : NY
Zip : 12550-1319
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10 CARMELLO RD # A
Second Line :
City : NEWBURGH
State : NY
Zip : 12550-1319
Country : US
Telephone Number : 347-370-9078
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2026
Last Update Date : 01/09/2026

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Directions to “ TASHANA JOSEPH ” Practice Location

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