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Organization
BEHAVIORAL HEALTH NURSE PRACTITIONER PSYCHIATRIC SERVICES PC
Active
Organization
BEHAVIORAL HEALTH NURSE PRACTITIONER PSYCHIATRIC SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA COANE (OFFICE MANAGER)
(631) 681-4754
Entity
Organization
Contact information
Practice address
28 ANNANDALE RD, COMMACK, NY 11725-1745
(631) 387-1496
(631) 893-4020
Mailing address
28 ANNANDALE RD, COMMACK, NY 11725-1745
(631) 387-1496
(631) 893-4020
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401327
NY
Other
Enumeration date
04/07/2015
Last updated
05/20/2015
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