Organization
KO NP IN PSYCHIATRY PC
Active
Other names
KO NP in Psychiatry PC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIRA OPPENHEIM (PRESIDENT)
(917) 553-4040
Entity
Organization
Contact information
Practice address
1975 LINDEN BLVD, ELMONT, NY 11003-4025
(917) 553-4040
(602) 581-7755
Mailing address
262 ARDSLEY ST, STATEN ISLAND, NY 10306-1632
(917) 553-4040
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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