| Frontier Np Psychiatric Services Pllc | |
|
1975 University Ave Bronx NY 10453-4404 | |
| (646) 530-2336 | |
| Not Available |
| Full Name | Frontier Np Psychiatric Services Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1975 University Ave, Bronx, New York |
| Authorized Official Name and Position | Carline Lamour-occean (PSYCHIATRIC NURSE PRACTITIONER) |
| Authorized Official Contact | 9294521588 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frontier Np Psychiatric Services Pllc 1506 E 54th St Brooklyn NY 11234-3930 Ph: (347) 247-9588 | Frontier Np Psychiatric Services Pllc 1975 University Ave Bronx NY 10453-4404 Ph: (646) 530-2336 |
| NPI Number | 1144950890 |
|---|---|
| Provider Enumeration Date | 06/15/2022 |
| Last Update Date | 09/01/2022 |
| Certification Date | 09/01/2022 |
| Medicare PECOS PAC ID | 8224406996 |
|---|---|
| Medicare Enrollment ID | O20221130002181 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144950890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Carline Lamour-occean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952654188 PECOS PAC ID: 4183846298 Enrollment ID: I20141105000584 |
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