Organization
HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KESHIA GRAHAM (FAMILY NURSE PRACTITIONER)
(718) 295-4833
Entity
Organization
Contact information
Practice address
333 E 181ST ST, 6N, BRONX, NY 10457-2305
(718) 295-4833
Mailing address
333 E 181ST ST, 6N, BRONX, NY 10457-2305
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
282N00000X
General Acute Care Hospital
—
—
314000000X
Skilled Nursing Facility
—
—
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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