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Organization
PHOENIX NP IN PSYCHIATRY AND NP IN ADULT HEALTH SERVICES PLLC
Active
Organization
PHOENIX NP IN PSYCHIATRY AND NP IN ADULT HEALTH SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNADETTE L MAYERS NP (CEO)
(347) 731-1563
Entity
Organization
Contact information
Practice address
12630 146TH ST, SOUTH OZONE PARK, NY 11436-1910
(347) 731-1563
Mailing address
12630 146TH ST, SOUTH OZONE PARK, NY 11436-1910
(347) 731-1563
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
—
NULL
363LA2200X
Adult Health Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/03/2025
Last updated
03/11/2026
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