Provider Demographics
NPI:1124268602
Name:JOSEPH, NEKEISHA LESLEY ANN (MS ED)
Entity type:Individual
Prefix:
First Name:NEKEISHA
Middle Name:LESLEY ANN
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 WHITE PLAINS RD
Mailing Address - Street 2:2ND FLR
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10473-2415
Mailing Address - Country:US
Mailing Address - Phone:347-579-7115
Mailing Address - Fax:
Practice Address - Street 1:123 WHITE PLAINS RD
Practice Address - Street 2:2ND FLR
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10473-2415
Practice Address - Country:US
Practice Address - Phone:347-579-7115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-24
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
No373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist