Individual provider · Type 1 NPI
Joseph Tharakan
Student Health Clinic/Center · Poughkeepsie, NY
NPI number
1114668712
Active
Practice location
45 Reade Pl
Poughkeepsie, NY 12601-3947
Mailing address
1 Columbia St Ste 302
Poughkeepsie, NY 12601-3924
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student Health Clinic/Center Primary | 261QS1000X | None listed |
Student Health Clinic/Center: Definition to come...
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About NPI 1114668712
Joseph Tharakan's National Provider Identifier is 1114668712, issued on Apr 6, 2022. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in Poughkeepsie, NY. The record was last updated on Jun 16, 2024.