Miss Grace Bomide, is a
Speech-language Pathologist based in Bronx, New York. Miss Grace Bomide is licensed to practice in New York (license number 029275-01) and her current practice location is
360 E 145th St, Bronx, New York. She can be reached at her office (for appointments etc.) via phone at
(718) 292-2211.
NPI number for Miss Grace Bomide is 1356613657 and her current mailing address is 360 E 145th St, Bronx, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356613657.
Provider's Profile
Full Name | Miss Grace Bomide |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 360 E 145th St, Bronx, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1356613657
- Provider Enumeration Date: 02/01/2012
- Last Update Date: 11/01/2019
Medical Identifiers
Medical identifiers for Miss Grace Bomide such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356613657 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 306900 (New York) | Secondary |
235Z00000X | Speech-language Pathologist | 029275-01 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Grace Bomide is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Miss Grace Bomide, 360 E 145th St, Bronx, NY 10454-1078 Ph: (718) 292-2211 | Miss Grace Bomide, 360 E 145th St, Bronx, NY 10454-1078 Ph: (718) 292-2211 |
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