# SOLID ROCK NURSE PRACTITIONER IN PSYCHIATRY PLLC

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

## Provider details

- **NPI number:** 1629899588
- **Authorized official:** MR. JEAN RIGAUD CETOUTE (MENTAL HEALTH NURSE PRACTITIONER)
- **Authorized official phone:** (718) 930-7136

## Contact information

- **Practice address:** 947 E 82ND ST, BROOKLYN, NY 11236-3811
- **Practice address phone:** (718) 930-7136
- **Mailing address:** 947 E 82ND ST, BROOKLYN, NY 11236-3811
- **Mailing address phone:** (718) 930-7136

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/22/2024
- **Last updated:** 10/22/2024