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A I B H NURSE PRACTITIONER-PSCYHIATRY PLLC NPI 1164693305


NPI Information

NPI: 1164693305
Provider Name: A I B H NURSE PRACTITIONER-PSCYHIATRY PLLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
3771 NESCONSET HWY STE 212
SOUTH SETAUKET, NY
ZIP 11720
Phone: (631) 689-5390
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A I B H NURSE PRACTITIONER-PSCYHIATRY PLLC is a psychiatric/mental health nurse practitioner in South Setauket, NY. A I B H NURSE PRACTITIONER-PSCYHIATRY PLLC NPI is 1164693305. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3771 NESCONSET HWY STE 212
SOUTH SETAUKET, NY
ZIP 11720-154
Phone: (631) 689-5390
Fax: (631) 883-6652

The provider's authorized official is Sharon Rosseland .
The authorized official title is Practice Administrator and has the following contact phone number (631) 689-5433.

The enumeration date for this NPI number is 3/16/2008 and was last updated on 12/28/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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: 11/14/2023

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