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Organization
KEVIN OBI NP IN PSYCHIATRY PLLC
Active
Organization
KEVIN OBI NP IN PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN OBI MSN (NURSE PRACTITIONER IN PSYCHIATRY)
(973) 342-5593
Entity
Organization
Contact information
Practice address
682 E 241ST ST, BRONX, NY 10470-1030
(973) 342-5593
Mailing address
1131 ELKER RD, UNION, NJ 07083-5006
(973) 342-5593
(646) 490-8780
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/09/2022
Last updated
02/29/2024
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