Organization · Type 2 NPI
Ec Psychiatric Nurse Practitioner PLLC
Psychiatric/Mental Health Nurse Practitioner · Suffern, NY
NPI number
1790483766
Active
Practice location
21 Robin Hood Rd
Suffern, NY 10901-3820
Mailing address
115 Franklin Turnpike, PO Box 168
Mahwah, NJ 07430
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
| Multi-Specialty Clinic/Center | 261QM1300X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1790483766
Ec Psychiatric Nurse Practitioner PLLC's National Provider Identifier is 1790483766, issued on Feb 20, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Suffern, NY. The record was last updated on Feb 20, 2023.