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Grace Bomide
NPI 1356613657 · on the registry since 2012 · sole proprietor
Practice
- Address
- 360 E 145th St
Bronx, NY 10454 - Phone
- (718) 292-2211
- Clinicians at this address
- 3
Additional practice sites
- 2054 Tillotson Ave, Bronx, NY
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Also registered as
- 164W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-11-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York