Organization
MODERN HEALTHCARE FAMILY HEALTH NP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENESIS GRULLON NURSE PRACTITIONER (OWNER)
(917) 405-5490
Entity
Organization
Contact information
Practice address
5800 ARLINGTON AVE APT 10W, BRONX, NY 10471-1413
(917) 405-5490
Mailing address
5800 ARLINGTON AVE APT 10W, BRONX, NY 10471-1413
(917) 405-5490
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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