| Equilibrio Nurse Practitioner In Psychiatry Pllc | |
|
246 Mineola Blvd Mineola NY 11501-2436 | |
| (929) 630-3023 | |
| Not Available |
| Full Name | Equilibrio Nurse Practitioner In Psychiatry Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 246 Mineola Blvd, Mineola, New York |
| Authorized Official Name and Position | Sean Dellasperanzo (PMHNP) |
| Authorized Official Contact | 6318349847 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Equilibrio Nurse Practitioner In Psychiatry Pllc 246 Mineola Blvd Mineola NY 11501-2436 Ph: () - | Equilibrio Nurse Practitioner In Psychiatry Pllc 246 Mineola Blvd Mineola NY 11501-2436 Ph: (929) 630-3023 |
| NPI Number | 1023790532 |
|---|---|
| Provider Enumeration Date | 08/03/2023 |
| Last Update Date | 08/17/2023 |
| Certification Date | 08/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023790532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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