Provider Demographics
NPI:1447061437
Name:JOSEPH, MASALA (R)
Entity type:Individual
Prefix:
First Name:MASALA
Middle Name:
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 MACDONOUGH ST APT 4R
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11216-2517
Mailing Address - Country:US
Mailing Address - Phone:929-408-8960
Mailing Address - Fax:
Practice Address - Street 1:129 MACDONOUGH ST APT 4R
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11216-2517
Practice Address - Country:US
Practice Address - Phone:929-408-8960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-17
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula