Organization
CARES NP IN PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUEL KOFI JACKSON NSIAH (CEO)
(929) 203-5657
Entity
Organization
Contact information
Practice address
14 METROPOLITAN OVAL, BRONX, NY 10462-6702
(929) 203-5657
(929) 299-1734
Mailing address
14 METROPOLITAN OVAL, BRONX, NY 10462-6702
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/15/2025
Last updated
05/03/2025
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