Individual
MR. RAYNER ALFONSO BERRIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP, LCSW-R
Contact information
Practice address
39 W 14TH ST STE 506, NEW YORK, NY 10011-7403
(929) 777-0173
Mailing address
347 5TH AVE # 620, NEW YORK, NY 10016-5010
(929) 203-4680
(828) 994-6790
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
40237501
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2007
Last updated
07/29/2022
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