GREAT LAKES NP OF PSYCHIATRY PLLC NPI 1790273308

NPI Information

NPI: 1790273308
Provider Name: GREAT LAKES NP OF PSYCHIATRY, PLLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
3802 SENECA ST
WEST SENECA, NY
ZIP 14224
Phone: (716) 677-5418
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GREAT LAKES NP OF PSYCHIATRY, PLLC is a psychiatric/mental health nurse practitioner in West Seneca, NY. GREAT LAKES NP OF PSYCHIATRY, PLLC NPI is 1790273308. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3802 SENECA ST
WEST SENECA, NY
ZIP 14224-433
Phone: (716) 677-5418

The provider's authorized official is Lorraine A. Lopez .
The authorized official title is Owner and has the following contact phone number (716) 908-1711.

The enumeration date for this NPI number is 4/30/2018 and was last updated on 4/30/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	F400896	NEW YORK	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: 4/28/2024

NPI Synchronization or Removal

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