Individual
MS. JUSTINA KENYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPS/CRPA
Contact information
Practice address
640 W 232ND ST, BRONX, NY 10463-3207
(718) 884-2992
(718) 884-2901
Mailing address
640 W 232ND ST, BRONX, NY 10463-3207
(914) 255-0584
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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