Organization
MIND YOUR MUNCHKIN NP IN PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSLAN BERDICHEVSKY (OWNER/PMHNP)
(401) 566-8175
Entity
Organization
Contact information
Practice address
2409 AVENUE Z, BROOKLYN, NY 11235-2631
(401) 566-8175
Mailing address
3650 LONG BEACH RD # 1075, OCEANSIDE, NY 11572-5705
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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