Organization
BEHAVIORAL HEALTH NURSE PRACTITIONER PSYCHIATRIC SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA COANE (OFFICE MANAGER)
(631) 681-4754
Entity
Organization
Contact information
Practice address
28 ANNANDALE RD, COMMACK, NY 11725-1745
(631) 387-1496
(631) 893-4020
Mailing address
28 ANNANDALE RD, COMMACK, NY 11725-1745
(631) 387-1496
(631) 893-4020
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401327
NY
Other
Enumeration date
04/07/2015
Last updated
05/20/2015
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