Modern Healthcare Family Health NP PLLC
Home Health in Bronx, NY. Organization (NPI-2).
NPI number1679455083
StatusActive
Last updated in NPPESJul 24, 2025
Details
- NPI
- 1679455083
- Entity type
- Organization (NPI-2)
- Legal business name
- Modern Healthcare Family Health NP PLLC
- Organization subpart
- No
- Enumeration date
- Jul 24, 2025
- Certification date
- Jul 24, 2025
- Last updated
- Jul 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
| 251J00000X | Nursing Care | – | – |
Practice location
5800 Arlington Ave Apt 10wBronx, NY 10471-1413
Phone 917-405-5490
Mailing address
5800 Arlington Ave Apt 10wBronx, NY 10471-1413
Phone 917-405-5490
Authorized official
Genesis Grullon
Owner
9174055490
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