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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