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NPI Code Detail

MEDICARE: MRS. MALIKA GRAVES R.N.

MEDICARE: MRS. MALIKA GRAVES R.N.
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
1163W00000XRegistered Nurse582859NY

General Provider Information

NPI Number : 1487897724
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MALIKA GRAVES R.N.
Provider Business Mailing Address
First Line : 2215 CRUGER AVE
Second Line : 1-F
City : BRONX
State : NY
Zip : 10467-9407
Country : US
Telephone Number : 914-557-7501
Fax Number :
Provider Business Practice Location Address
First Line : 16 WESTCHESTER SQ
Second Line :
City : BRONX
State : NY
Zip : 10461-3513
Country : US
Telephone Number : 718-518-9007
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2009
Last Update Date : 04/16/2009

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