Organization · Type 2 NPI
Divine Neuropsychiatric Services
Psychiatric/Mental Health Nurse Practitioner · Rosedale, NY
NPI number
1033714555
Active
Practice location
25751 149th Rd
Rosedale, NY 11422-3022
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1033714555
Divine Neuropsychiatric Services's National Provider Identifier is 1033714555, issued on Dec 2, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Rosedale, NY. The record was last updated on Dec 2, 2020.