| Home | |
|
333 E 181st St 6n Bronx NY 10457-2305 | |
| (718) 295-4833 | |
| Not Available |
| Full Name | Home |
|---|---|
| Speciality | Clinic/center |
| Location | 333 E 181st St, Bronx, New York |
| Authorized Official Name and Position | Keshia Graham (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 7182954833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Home 333 E 181st St 6n Bronx NY 10457-2305 | Home 333 E 181st St 6n Bronx NY 10457-2305 Ph: (718) 295-4833 |
| NPI Number | 1528435872 |
|---|---|
| Provider Enumeration Date | 08/21/2015 |
| Last Update Date | 08/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528435872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| 282N00000X | General Acute Care Hospital | () | Secondary |
| 314000000X | Skilled Nursing Facility | () | Secondary |
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