RECOVER UNDERCOVER LLC NPI 1730956293

NPI Information

  • NPI: 1730956293
  • Provider Name: RECOVER UNDERCOVER LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 39 WHEELER RD
    CENTRAL ISLIP, NY
    ZIP 11722
  • Phone: (631) 546-8849

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NPI Details

RECOVER UNDERCOVER LLC is a psychiatric/mental health nurse practitioner in Central Islip, NY. RECOVER UNDERCOVER LLC NPI is 1730956293. The provider is registered as an organization entity type.

The provider's business location address is:

39 WHEELER RD
CENTRAL ISLIP, NY
ZIP 11722-122
Phone: (631) 546-8849

The provider's authorized official is Cathy Randolph .
The authorized official title is Owner and has the following contact phone number (631) 546-8849.

The enumeration date for this NPI number is 12/5/2023 and was last updated on 1/7/2024.

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
1177F00000XLodgingNo
2363LP0808XNurse 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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