# JJGNP IN ADULT HEALTH, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Neuro Pathways
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487133294
- **Authorized official:** WILLIAM BEZMEN PH. D, PMH, C.N.S. (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (516) 659-5109

## Contact information

- **Practice address:** 77 SHORE RD, MOUNT SINAI, NY 11766-1419
- **Practice address phone:** (631) 642-2200
- **Practice address fax:** (631) 642-2195
- **Mailing address:** 77 SHORE RD, MOUNT SINAI, NY 11766-1419
- **Mailing address phone:** (631) 642-2200
- **Mailing address fax:** (631) 642-2195

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |
| 364SP0808X | Psychiatric/Mental Health Clinical Nurse Specialist | — | NULL | — |
| 364SP0808X | Psychiatric/Mental Health Clinical Nurse Specialist | — | — | — |

## Other

- **Enumeration date:** 08/13/2018
- **Last updated:** 08/13/2018
