Organization
PETER BOURQUE NP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOCELYN VERBEKE N/A (COO AND PRACTICE MANAGER)
(631) 213-1770
Entity
Organization
Contact information
Practice address
1650 SYCAMORE AVE STE 39, BOHEMIA, NY 11716-1736
(631) 213-1770
(631) 315-8042
Mailing address
1650 SYCAMORE AVE STE 39, BOHEMIA, NY 11716-1736
(631) 213-1770
(631) 315-8042
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/11/2024
Last updated
01/31/2026
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