Provider Demographics
NPI:1477606051
Name:JOSEPH, ANTHONY J (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:J
Last Name:JOSEPH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:450 CLARKSON AVE # 52
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-2056
Mailing Address - Country:US
Mailing Address - Phone:718-270-1584
Mailing Address - Fax:718-270-3327
Practice Address - Street 1:450 CLARKSON AVE # 52
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-2056
Practice Address - Country:US
Practice Address - Phone:917-991-3935
Practice Address - Fax:516-723-9459
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2022-07-27
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Provider Licenses
StateLicense IDTaxonomies
NY163833207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01043503Medicaid
NY01043503Medicaid
A60098Medicare UPIN