Organization
MENTAL HEALTH NURSE PRACTITIONER CONSULTATION SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHERINE BRIDGET OBRIEN NPP, APRN (PRESIDENT)
(631) 656-9761
Entity
Organization
Contact information
Practice address
637 VETERANS HWY, SMITHTOWN, NY 11787-4309
(631) 656-9761
(631) 656-9765
Mailing address
637 VETERANS HWY, SMITHTOWN, NY 11787-4309
(631) 656-9761
(631) 656-9765
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400083
NY
Other
Enumeration date
06/20/2007
Last updated
01/12/2015
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