Organization
KAMEHAMEHA HEALTH AND WELLNESS NONPROFIT CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PURIFICACION CRISTOBAL DNP, PHD (MANAGING AGENT)
(718) 684-6465
Entity
Organization
Contact information
Practice address
3250 WESCHESTER AVENUE, SUITE LL4, BRONX, NY 10461-4548
(718) 684-6465
(718) 684-6467
Mailing address
3250 WESCHESTER AVENUE, SUITE LL4, BRONX, NY 10461-4548
(718) 684-6465
(718) 684-6467
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05459852
—
NY
Enumeration date
03/28/2015
Last updated
10/11/2019
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