# LORENA GRULLON-FIGUEROA MD, PLLC

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

## Provider details

- **NPI number:** 1689960395
- **Authorized official:** DR. LORENA GRULLON-FIGUEROA M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (347) 349-5888

## Contact information

- **Practice address:** 1262 BOSTON RD, BRONX, NY 10462
- **Practice address phone:** (347) 349-5888
- **Mailing address:** 1262 BOSTON RD, BRONX, NY 10456-3602
- **Mailing address phone:** (347) 349-5888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 251831 | NY | Yes |

## Other

- **Enumeration date:** 06/21/2011
- **Last updated:** 06/21/2011
