Individual provider · Type 1 NPI

Erewarifagha Minini Haidome, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Jamaica, NY

NPI number 1114301728 Active

Practice location

14036 170th St
Jamaica, NY 11434-4632

Mailing address

3963 Murdock Ave
Bronx, NY 10466-2442

Other practice locations

  • 391 E 149th St Rm 405, Bronx, NY 10455-3907 · (718) 215-1117
  • 256 Washington St, Mount Vernon, NY 10553-1052 · (914) 613-0700

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X621055-1 (NY)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X403564 (NY)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

6 other providers at this address

Other psychiatric/mental health nurse practitioner providers in Jamaica

See all in Jamaica →

About NPI 1114301728

Erewarifagha Minini Haidome, PMHNP-BC's National Provider Identifier is 1114301728, issued on Jul 13, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Jamaica, NY. The record was last updated on Nov 2, 2023.