| Coping Nurse Practitioner In Psychiatry Services, P.c. | |
|
626 Rxr Plz Fl 6 Uniondale NY 11556-0626 | |
| (516) 247-3525 | |
| Not Available |
| Full Name | Coping Nurse Practitioner In Psychiatry Services, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 626 Rxr Plz Fl 6, Uniondale, New York |
| Authorized Official Name and Position | Judy Edvaline Vansiea (PRESIDENT/OWNER) |
| Authorized Official Contact | 5162473525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coping Nurse Practitioner In Psychiatry Services, P.c. 626 Rxr Plz Fl 6 Uniondale NY 11556-0626 Ph: (516) 247-3525 | Coping Nurse Practitioner In Psychiatry Services, P.c. 626 Rxr Plz Fl 6 Uniondale NY 11556-0626 Ph: (516) 247-3525 |
| NPI Number | 1710536610 |
|---|---|
| Provider Enumeration Date | 09/04/2019 |
| Last Update Date | 03/24/2020 |
| Certification Date | 03/24/2020 |
| Medicare PECOS PAC ID | 4183038227 |
|---|---|
| Medicare Enrollment ID | O20210201000360 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710536610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Judy E Vansiea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083125173 PECOS PAC ID: 7618381757 Enrollment ID: I20210225002035 |
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