Individual provider · Type 1 NPI
Bryan Howard Quackenbush
Psychiatric/Mental Health Nurse Practitioner · Napanoch, NY
NPI number
1396496436
Active
Practice location
750 Berme Rd
Napanoch, NY 12458-2709
Mailing address
105 Belvedere Rd
Beacon, NY 12508-2421
Other practice locations
- 105 Belvedere Rd, Beacon, NY 12508-2421 · (845) 264-9708
- 325 Riverside Dr, Fallsburg, NY 12733-5308 · (845) 434-2080
- 9005 Old River Rd, Marcy, NY 13403-3000 · (315) 765-3600
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN676013 (PA) |
| Registered Nurse | 163W00000X | 702414 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 404392 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
5 other providers at this address
- State of New York Office of State ComptrollerPharmacy Napanoch, NY NPI 1992680631
- Ulster Correctional FacilityMedical Physician Assistant Napanoch, NY NPI 1871985127
- Cherif Makram, MDSurgery Physician Napanoch, NY NPI 1295955474
- Paul Hnatiw, P.APhysician Assistant Napanoch, NY NPI 1932591195
- Yaroslava Milov, PAPhysician Assistant Napanoch, NY NPI 1356733612
About NPI 1396496436
Bryan Howard Quackenbush's National Provider Identifier is 1396496436, issued on Jan 11, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Napanoch, NY. The record was last updated on Aug 21, 2022.