Organization
KEVIN OBI NP IN PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN OBI MSN (NURSE PRACTITIONER IN PSYCHIATRY)
(973) 342-5593
Entity
Organization
Contact information
Practice address
682 E 241ST ST, BRONX, NY 10470-1030
(973) 342-5593
Mailing address
1131 ELKER RD, UNION, NJ 07083-5006
(973) 342-5593
(646) 490-8780
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5427909
—
NY
Enumeration date
02/09/2022
Last updated
02/29/2024
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