| Ec Psychiatric Nurse Practitioner Pllc | |
|
21 Robin Hood Rd Suffern NY 10901-3820 | |
| (646) 671-1187 | |
| Not Available |
| Full Name | Ec Psychiatric Nurse Practitioner Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 21 Robin Hood Rd, Suffern, New York |
| Authorized Official Name and Position | Edner Cuvilly (NURSE PRACTITIONER PSYCHIATRY) |
| Authorized Official Contact | 6466711187 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ec Psychiatric Nurse Practitioner Pllc 115 Franklin Turnpike Po Box 168 Mahwah NJ 07430 Ph: (646) 671-1187 | Ec Psychiatric Nurse Practitioner Pllc 21 Robin Hood Rd Suffern NY 10901-3820 Ph: (646) 671-1187 |
| NPI Number | 1790483766 |
|---|---|
| Provider Enumeration Date | 02/20/2023 |
| Last Update Date | 02/20/2023 |
| Certification Date | 02/20/2023 |
| Medicare PECOS PAC ID | 9537603196 |
|---|---|
| Medicare Enrollment ID | O20240708000599 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790483766 | NPI | - | NPPES |
| Provider Name | Edner Cuvilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194316059 PECOS PAC ID: 7618337593 Enrollment ID: I20240708000820 |
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