EAGLE PSYCH LLC NPI 1295607778

NPI Information

  • NPI: 1295607778
  • Provider Name: EAGLE PSYCH LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 86 HAMILTON AVE
    STATEN ISLAND, NY
    ZIP 10301
  • Phone: (929) 768-4099

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NPI Details

EAGLE PSYCH LLC is a psychiatric/mental health nurse practitioner in Staten Island, NY. EAGLE PSYCH LLC NPI is 1295607778. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

86 HAMILTON AVE
STATEN ISLAND, NY
ZIP 10301-609
Phone: (929) 768-4099

The provider's authorized official is David Alabi .
The authorized official title is Practice Owner and has the following contact phone number (732) 433-5871.

The enumeration date for this NPI number is 9/23/2025 and was last updated on 12/22/2025.

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
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: 11/21/2025

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