Individual
MARY BUMPARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
324 E 149TH ST, BRONX, NY 10451-5602
(718) 665-4300
Mailing address
324 E 149TH ST, BRONX, NY 10451-5602
(718) 665-4300
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F402492
NY
Other
Enumeration date
10/29/2018
Last updated
02/28/2019
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