Provider Demographics
NPI:1699411140
Name:JOSEPH, VERNETH NORESHA (MD)
Entity Type:Individual
Prefix:
First Name:VERNETH
Middle Name:NORESHA
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:279 NORTH STREET
Mailing Address - Street 2:APT 138
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14201
Mailing Address - Country:US
Mailing Address - Phone:804-655-8650
Mailing Address - Fax:716-829-3999
Practice Address - Street 1:955 MAIN STREET
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14203
Practice Address - Country:US
Practice Address - Phone:716-829-5997
Practice Address - Fax:716-829-3999
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-09
Last Update Date:2023-06-27
Deactivation Date:2022-12-19
Deactivation Code:
Reactivation Date:2023-06-27
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program