Organization · Type 2 NPI
Champion Community Partners, LLC
Psychiatric/Mental Health Nurse Practitioner · Massapequa Park, NY
NPI number
1922989144
Active
Practice location
5100 Sunrise Hwy
Massapequa Park, NY 11762-2935
Mailing address
1377 Motor Pkwy Ste 102
Islandia, NY 11749-5249
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
3 other providers at this address
About NPI 1922989144
Champion Community Partners, LLC's National Provider Identifier is 1922989144, issued on Sep 12, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Massapequa Park, NY. The record was last updated on Sep 12, 2025.