KRISTEN BRIODY LLC NPI 1346999372

NPI Information

NPI: 1346999372
Provider Name: KRISTEN BRIODY, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
107 W MAIN ST
EAST ISLIP, NY
ZIP 11730
Phone: (631) 666-1615
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KRISTEN BRIODY, LLC is a mental health (including community mental health center) clinic center in East Islip, NY. KRISTEN BRIODY, LLC NPI is 1346999372. The provider is registered as an organization entity type.

The provider's business location address is:

107 W MAIN ST
EAST ISLIP, NY
ZIP 11730-337
Phone: (631) 666-1615

The provider's authorized official is Kristen Briody .
The authorized official title is Pmhnp-bc and has the following contact phone number (631) 666-1615.

The enumeration date for this NPI number is 3/18/2022 and was last updated on 3/18/2022.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	123456789	MEDICAID	NEW YORK

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

NPI Synchronization or Removal

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