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1033714555
DIVINE NEUROPSYCHIATRIC SERVICES
ROSEDALE, NY
NPI
1033714555
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Entity Type
Organization
Authorized Contact
BOLANLE BELLO
Owner
718-812-2655
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2020-12-02
Last Update Date
2020-12-02
Business Address
DIVINE NEUROPSYCHIATRIC SERVICES
25751 149TH RD
ROSEDALE, NY 11422-3022
Phone number: 718-812-2655
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Mailing Address
DIVINE NEUROPSYCHIATRIC SERVICES
25751 149TH RD
ROSEDALE, NY 11422-3022
Phone number:
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