Organization
GRACE NURSE PRACTITIONER IN PSYCHIATRIC MENTAL HEALTH.P.C
Active
Other names
Grace Nurse Practitioner in Psychiatric Mental Health.P.C
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE ADEOLA ADEPOJU NURSE PRACTITIONER (NPP)
(518) 331-2192
Entity
Organization
Contact information
Practice address
2742 3RD AVE, BRONX, NY 10455-4036
(518) 331-2192
Mailing address
308 HAMILTON PLACE HACKENSACK NEW JERSEY, UNIT 2, HACKENSACK, NJ 07601
(518) 331-2192
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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