Organization
MARY BUMPARS NURSE PRACTITIONER IN PSYCHIATRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY Q BUMPARS NP (NURSE PRACTITIONER)
(347) 620-8901
Entity
Organization
Contact information
Practice address
234 E 149TH ST, BRONX, NY 10451-5504
(347) 620-8901
Mailing address
1612 MAIN ST UNIT 1162, PLEASANT VALLEY, NY 12569-7096
(347) 620-8901
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/17/2020
Last updated
01/02/2023
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