Most Relevant Information
Provider Data
| NPI Number: | 1003400896 |
| Provider Name: | JUSTINE TETTEH |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | P107941 |
Most Important Dates
| Enumeration Date: | 02/23/2021 |
| Last Updated: | 02/23/2021 |
Provider Practice Location
3174 RIVERDALE AVE OFC 1
BRONX
NY
104633839
Practice Location Phone/Fax
| Phone: | 3474506164 |
| Fax: |
Provider Mailing Location
49 W 225TH ST APT 8D
BRONX
NY
104637011
Provider Mailing Phone/Fax
| Phone: | 3472619188 |
| Fax: |