Individual provider · Type 1 NPI
Gregory Paul Bovenzi
Psychiatric/Mental Health Nurse Practitioner · New York, NY
NPI number
1003405713
Active
Practice location
1 Gustave L Levy Pl
New York, NY 10029-6504
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 732940 (NY) |
| Licensed Practical Nurse | 164W00000X | 302177 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 403684 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1003405713
Gregory Paul Bovenzi's National Provider Identifier is 1003405713, issued on Jan 16, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in New York, NY. The record was last updated on Nov 1, 2021.