Healthcare Provider Details

I. General information

NPI: 1457280943
Provider Name (Legal Business Name): ABLE JOURNEY NP IN PSYCHIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2578 BROADWAY # 596
NEW YORK NY
10025-5642
US

IV. Provider business mailing address

2578 BROADWAY # 596
NEW YORK NY
10025-5642
US

V. Phone/Fax

Practice location:
  • Phone: 914-454-7919
  • Fax: 914-222-8764
Mailing address:
  • Phone: 914-454-7919
  • Fax: 914-222-8764

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: HAJA BINTA KARGBO
Title or Position: PMHNP/ OWNER
Credential:
Phone: 914-454-7919