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Individual

HRAFN OLI SIGURDSSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD, NP, PMHNP-BC

Contact information

Practice address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-5000
Mailing address
210 E 15TH ST APT 14D4TH, NEW YORK, NY 10003-3922

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
421305
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401411
NY

Other

Enumeration date
03/17/2007
Last updated
09/07/2019
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