Organization
LORENA GRULLON-FIGUEROA MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORENA GRULLON-FIGUEROA M.D. (MEDICAL DIRECTOR)
(347) 349-5888
Entity
Organization
Contact information
Practice address
1262 BOSTON RD, BRONX, NY 10462
(347) 349-5888
Mailing address
1262 BOSTON RD, BRONX, NY 10456-3602
(347) 349-5888
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
251831
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03161057
—
NY
Enumeration date
06/21/2011
Last updated
06/21/2011
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