# ADULT INTEGRATED MEDICAL AND PSYCHIATRIC CARE CONSULT.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467129577
- **Authorized official:** FRANCIS M. BONGAH DNP, APN, MSN (ADVANCED PRACTICE NURSE.)
- **Authorized official phone:** (862) 955-3234

## Contact information

- **Practice address:** 40 UNION AVENUE, SUITE 305, IRVINGTON, NJ 07111-3290
- **Practice address phone:** (862) 955-3234
- **Practice address fax:** (862) 955-3265
- **Mailing address:** 20 COOLIDGE STREET, IRVINGTON, NJ 07111-1108
- **Mailing address phone:** (862) 955-3234
- **Mailing address fax:** (862) 955-3265

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/26/2021
- **Last updated:** 08/26/2021