JACK JOSEPH

STATEN ISLAND, NY
NPI1295352433
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  791360)
Enumeration Date2020-07-04
Last Update Date2020-07-04
Business Address
Mr. JACK JOSEPH RN
12 LYLE CT
STATEN ISLAND, NY 10306-1142
Phone number: 718-987-3849
Mailing Address
Mr. JACK JOSEPH RN
36 4TH AVE
PORT READING, NJ 07064-2004
Phone number: 516-385-0875
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