Individual
JUSTINE BELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
110 LAFAYETTE ST FL 5, NEW YORK, NY 10013-4116
(212) 369-6757
Mailing address
15342 83RD ST, HOWARD BEACH, NY 11414-1826
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
693070
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402725
NY
Other
Enumeration date
06/23/2019
Last updated
11/08/2019
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