PSYCHIATRIC NURSE PRACTITIONER SERVICES PC NPI 1124340641

NPI Information

NPI: 1124340641
Provider Name: PSYCHIATRIC NURSE PRACTITIONER SERVICES PC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
5036 JERICHO TURNPIKE
SUITE 203
NORTHPORT, NY
ZIP 11725
Phone: (631) 462-5222
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PSYCHIATRIC NURSE PRACTITIONER SERVICES PC is a psychiatric/mental health nurse practitioner in Northport, NY. PSYCHIATRIC NURSE PRACTITIONER SERVICES PC NPI is 1124340641. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5036 JERICHO TURNPIKE
SUITE 203
NORTHPORT, NY
ZIP 11725
Phone: (631) 462-5222
Fax: (631) 462-5258

The provider's authorized official is Cheryl Moore .
The authorized official title is Psychiatric Nurse Practitioner and has the following contact phone number (631) 848-7104.

The enumeration date for this NPI number is 2/25/2010 and was last updated on 3/25/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health			No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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