Equanimity Llc | |
38 Amaral St Riverside RI 02915-2205 | |
(401) 521-5800 | |
(401) 827-1933 |
Full Name | Equanimity Llc |
---|---|
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 38 Amaral St, Riverside, Rhode Island |
Authorized Official Name and Position | Samuel Kaufman (OWNER) |
Authorized Official Contact | 4015215800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Equanimity Llc 38 Amaral St Riverside RI 02915-2205 Ph: (401) 521-5800 | Equanimity Llc 38 Amaral St Riverside RI 02915-2205 Ph: (401) 521-5800 |
NPI Number | 1952131385 |
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Provider Enumeration Date | 08/01/2024 |
Last Update Date | 08/01/2024 |
Certification Date | 08/01/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952131385 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
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