Individual provider · Type 1 NPI

Khadija Deas-Joseph, PHYSICIAN ASSISTANT

Medical Physician Assistant · New York, NY

NPI number 1740300698 Active

Practice location

630 W 168th St, Ph Building Rm 104
New York, NY 10032-3725

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X008959 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1740300698

Khadija Deas-Joseph, PHYSICIAN ASSISTANT's National Provider Identifier is 1740300698, issued on Mar 31, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New York, NY. The record was last updated on Dec 3, 2013.