Provider Demographics
NPI:1023364817
Name:JOSEPH, ELEANOR CHALEW (RN)
Entity Type:Individual
Prefix:MRS
First Name:ELEANOR
Middle Name:CHALEW
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 SANATORIUM ROAD BLDG. D
Mailing Address - Street 2:ROBERT L. YEAGER HEALTH CENTER
Mailing Address - City:POMONA
Mailing Address - State:NY
Mailing Address - Zip Code:10970
Mailing Address - Country:US
Mailing Address - Phone:845-364-2252
Mailing Address - Fax:845-364-2149
Practice Address - Street 1:50 SANATORIUM ROAD BLDG. D
Practice Address - Street 2:ROBERT L. YEAGER HEALTH CENTER
Practice Address - City:POMONA
Practice Address - State:NY
Practice Address - Zip Code:10970
Practice Address - Country:US
Practice Address - Phone:845-364-2252
Practice Address - Fax:845-364-2149
Is Sole Proprietor?:No
Enumeration Date:2012-07-30
Last Update Date:2012-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY313619-1163WA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)