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NPI Code Detail

MEDICARE: MRS. BOLANLE OLAJUMOKE BELLO N.P

MEDICARE: MRS. BOLANLE OLAJUMOKE BELLO N.P
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerF401162-1NY

General Provider Information

NPI Number : 1013160613
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BOLANLE OLAJUMOKE BELLO N.P
Provider Business Mailing Address
First Line : 4401 BRONX BLVD
Second Line :
City : BRONX
State : NY
Zip : 10470-1407
Country : US
Telephone Number : 718-304-7000
Fax Number : 718-304-9217
Provider Business Practice Location Address
First Line : 4401 BRONX BLVD
Second Line :
City : BRONX
State : NY
Zip : 10470-1407
Country : US
Telephone Number : 718-304-7000
Fax Number : 718-304-9217
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2008
Last Update Date : 10/28/2008

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