Nirvana Integrative Medicine, PLLC
Internal Medicine, Adolescent Medicine in Bronx, NY. Organization (NPI-2).
NPI number1346554342
StatusActive
Last updated in NPPESAug 2, 2010
Details
- NPI
- 1346554342
- Entity type
- Organization (NPI-2)
- Legal business name
- Nirvana Integrative Medicine, PLLC
- Organization subpart
- No
- Enumeration date
- Aug 2, 2010
- Last updated
- Aug 2, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RA0000X | Internal Medicine, Adolescent Medicine | 218349 | NY | Yes |
Practice location
1469 Astor AveBronx, NY 10469-5846
Phone 347-346-6915
Mailing address
1469 Astor AveBronx, NY 10469-5846
Authorized official
Ilora Rafique
MD
3473466910
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