Organization
PHOENIX NP IN PSYCHIATRY AND NP IN ADULT HEALTH SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNADETTE L MAYERS NP (CEO)
(347) 731-1563
Entity
Organization
Contact information
Practice address
12630 146TH ST, SOUTH OZONE PARK, NY 11436-1910
(347) 731-1563
Mailing address
12630 146TH ST, SOUTH OZONE PARK, NY 11436-1910
(347) 731-1563
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/03/2025
Last updated
03/11/2026
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