Individual
MR. MICHAEL KEVIN ATKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
400 HORSEBLOCK RD STE H, FARMINGVILLE, NY 11738-1252
(631) 233-9490
(631) 233-9499
Mailing address
400 HORSEBLOCK RD STE H, FARMINGVILLE, NY 11738-1252
(631) 233-9490
(631) 233-9499
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
709050
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403162
NY
Other
Enumeration date
11/07/2015
Last updated
08/19/2020
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