Provider Demographics
NPI:1083032882
Name:JOSEPH, MERIN SANOJ (RN, MSN, FNP- BC)
Entity Type:Individual
Prefix:MRS
First Name:MERIN
Middle Name:SANOJ
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:RN, MSN, FNP- BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 MOORE AVE
Mailing Address - Street 2:APT 5 V
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-3115
Mailing Address - Country:US
Mailing Address - Phone:347-684-0386
Mailing Address - Fax:
Practice Address - Street 1:189 ROUTE 100
Practice Address - Street 2:
Practice Address - City:SOMERS
Practice Address - State:NY
Practice Address - Zip Code:10589-2811
Practice Address - Country:US
Practice Address - Phone:914-232-5101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-31
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY338155363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily