Organization
JJGNP IN ADULT HEALTH, P.C.
Active
Organization
JJGNP IN ADULT HEALTH, P.C.
Active
Other names
Neuro Pathways
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BEZMEN PH. D, PMH, C.N.S. (AUTHORIZED OFFICIAL)
(516) 659-5109
Entity
Organization
Contact information
Practice address
77 SHORE RD, MOUNT SINAI, NY 11766-1419
(631) 642-2200
(631) 642-2195
Mailing address
77 SHORE RD, MOUNT SINAI, NY 11766-1419
(631) 642-2200
(631) 642-2195
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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