Provider Demographics
NPI:1841208451
Name:JOSEPH, MICHEL D (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHEL
Middle Name:D
Last Name:JOSEPH
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:760 BROADWAY DEPARTMENT OF MANAGED CARE ROOM 2B230
Mailing Address - Street 2:WOODHULL MEDICAL & MENTAL HEALTH CENTER
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11206
Mailing Address - Country:US
Mailing Address - Phone:718-963-8000
Mailing Address - Fax:718-630-3122
Practice Address - Street 1:760 BROADWAY DEPARTMENT OF PSYCHIATRY
Practice Address - Street 2:WOODHILL MEDICAL & MENTAL HEALTH CENTER
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206
Practice Address - Country:US
Practice Address - Phone:718-963-8000
Practice Address - Fax:718-793-3301
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2014-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY1723582084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry