Organization
KEISHA A BALLENTINE-CARGILL NP IN FAMILY HEALTH, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KEISHA ALETHEA BALLENTINE-CARGILL DNP, FNP-BC (NURSE PRACTITIONER)
(914) 882-7192
Entity
Organization
Contact information
Practice address
1054 E 231ST ST, BRONX, NY 10466-4806
(914) 882-7192
Mailing address
1054 E 231ST ST, BRONX, NY 10466-4806
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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