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Organization
SERENITY INTEGRATIVE SERVICES NP IN PSYCHIATRY PC
Active
Organization
SERENITY INTEGRATIVE SERVICES NP IN PSYCHIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONIA SENAMI AJIMAVO PMHNP (OWNER)
(646) 918-0843
Entity
Organization
Contact information
Practice address
14028 159TH ST # B-1, JAMAICA, NY 11434-4422
(646) 918-0843
Mailing address
17644 130TH AVE, JAMAICA, NY 11434-5803
(646) 918-0843
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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