Organization
MERCY & GRACE NURSE PRACTITIONER IN GERONTOLOGY OF NEW YORK PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TITILOLA ADELOKIKI N.P. (OWNER)
(718) 448-0442
Entity
Organization
Contact information
Practice address
89 ARLINGTON AVE, STATEN ISLAND, NY 10303-1601
(718) 448-0442
(347) 466-5393
Mailing address
89 ARLINGTON AVE, STATEN ISLAND, NY 10303-1601
(718) 448-0442
(347) 466-5393
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/10/2011
Last updated
10/24/2011
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