Organization
BRIDGE TO CARE NURSE PRACTITIONER IN PSYCHIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRIETTA O OKPALA (PMHNP)
(718) 288-0979
Entity
Organization
Contact information
Practice address
3005 CHURCH AVE, BROOKLYN, NY 11226-4209
(347) 627-6100
Mailing address
10536 AVENUE K, BROOKLYN, NY 11236-3018
(347) 627-6100
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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