GRACELIFE FAMILY HEALTH NP PC


Address: 4027 Amundson Ave Fl 1, Bronx, NY 10466-2330
Phone: 6463308918

GRACELIFE FAMILY HEALTH NP PC (NPI# 1184011892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184011892
Entity Type Organization
Organization Name GRACELIFE FAMILY HEALTH NP PC
Practice Address 4027 Amundson Ave Fl 1
Bronx
NY 10466-2330
Practice Telephone 6463308918
Enumeration Date 2015-04-20
Last Update Date 2018-02-16
Authorized Official Name FRANCISCA NJOKU (FAMILY NURSE PRACTITIONER)
Authorized Official Telephone 6463308918
Authorized Official Credential NP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Office Location

Street Address 4027 AMUNDSON AVE FL 1
City BRONX
State NY
Zip Code 10466-2330

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1407499361 Shanell Smith Licensed Practical Nurse 772 E 223rd St, Bronx, NY 10466 2019-10-23
1386115087 Grmawit Wolde Licensed Practical Nurse 512 W 134 #23, Bronx, NM 10466 2018-12-07
1346710431 Nereid Rx Corp Pharmacy 4396 White Plains Rd, Bronx, NY 10466 2018-11-30
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1174098305 Jamila Berma Assistant Behavior Analyst 4222 Monticello.ave, Bronx, NY 10466 2018-10-03
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City BRONX
Zip Code 10466

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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