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Organization
KO NP IN PSYCHIATRY PC
Active
Organization
KO NP IN PSYCHIATRY PC
Active
Other names
KO NP in Psychiatry PC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIRA OPPENHEIM (PRESIDENT)
(917) 553-4040
Entity
Organization
Contact information
Practice address
1975 LINDEN BLVD, ELMONT, NY 11003-4025
(917) 553-4040
(602) 581-7755
Mailing address
262 ARDSLEY ST, STATEN ISLAND, NY 10306-1632
(917) 553-4040
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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