Organization
CARGILL COMPREHENSIVE CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KEISHA BALLENTINE-CARGILL DNP, FNP-BC, CRRN (DOCTORAL 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
(914) 882-7192
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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