Individual provider · Type 1 NPI

Otmaine Benassou, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Staten Island, NY

NPI number 1699286559 Active

Practice location

669 Castleton Ave
Staten Island, NY 10301-2028

Fax (718) 442-2289

Mailing address

14350 Hoover Ave Apt 303
Briarwood, NY 11435-2158

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XF402232-1 (NY)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1699286559

Otmaine Benassou, PMHNP's National Provider Identifier is 1699286559, issued on Oct 18, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Staten Island, NY. The record was last updated on Oct 18, 2017.