PSYCHIATRIC NURSE PRACTITIONER P.C


Address: 191 Orchard St Apt 4d, New York, NY 10002-1424
Phone: 7187570684

PSYCHIATRIC NURSE PRACTITIONER P.C (NPI# 1518595727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518595727
Entity Type Organization
Organization Name PSYCHIATRIC NURSE PRACTITIONER P.C
Practice Address 191 Orchard St Apt 4d
New York
NY 10002-1424
Mailing Address 79 Main St N
Bridgewater
CT 06752-1219
Practice Telephone 7187570684
Mailing Telephone 7187570684
Enumeration Date 2020-04-01
Last Update Date 2020-04-01
Authorized Official Name BRIGHID GANNON (OWNER)
Authorized Official Telephone 7187570684
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 191 ORCHARD ST APT 4D
City NEW YORK
State NY
Zip Code 10002-1424

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10002

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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