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Organization
KAMEHAMEHA HEALTH AND WELLNESS NONPROFIT CORPORATION
Active
Organization
KAMEHAMEHA HEALTH AND WELLNESS NONPROFIT CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PURIFICACION CRISTOBAL DNP, PHD (MANAGING AGENT)
(718) 684-6465
Entity
Organization
Contact information
Practice address
3250 WESCHESTER AVENUE, SUITE LL4, BRONX, NY 10461-4548
(718) 684-6465
(718) 684-6467
Mailing address
3250 WESCHESTER AVENUE, SUITE LL4, BRONX, NY 10461-4548
(718) 684-6465
(718) 684-6467
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05459852
—
NY
Enumeration date
03/28/2015
Last updated
10/11/2019
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