# MYCAREONTHEGO LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164152948
- **Authorized official:** JENNIFER FIELDS (OFFICE MANAGER)
- **Authorized official phone:** (347) 702-0069

## Contact information

- **Practice address:** 1963 ROCKAWAY PKWY, BROOKLYN, NY 11236-5505
- **Practice address phone:** (347) 702-0069
- **Practice address fax:** (917) 423-0410
- **Mailing address:** 1963 ROCKAWAY PKWY, BROOKLYN, NY 11236-5505
- **Mailing address phone:** (347) 702-0069
- **Mailing address fax:** (917) 423-0410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 364SP0808X | Psychiatric/Mental Health Clinical Nurse Specialist | — | NULL | Yes |
| 364SP0808X | Psychiatric/Mental Health Clinical Nurse Specialist | — | — | Yes |

## Other

- **Enumeration date:** 06/14/2022
- **Last updated:** 07/21/2022