| Nepenthe Inc | |
|
435 Brook Ave Unit 29 Deer Park NY 11729-6829 | |
| (631) 243-3056 | |
| (631) 243-3132 |
| Full Name | Nepenthe Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 435 Brook Ave, Deer Park, New York |
| Authorized Official Name and Position | Rosanne M Mirando (MEDICAL BILLER) |
| Authorized Official Contact | 6312433056 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nepenthe Inc 435 Brook Ave Unit 29 Deer Park NY 11729-6829 Ph: (631) 243-3056 | Nepenthe Inc 435 Brook Ave Unit 29 Deer Park NY 11729-6829 Ph: (631) 243-3056 |
| NPI Number | 1184776908 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184776908 | NPI | - | NPPES |
| 01467110 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 01467110 (New York) | Primary |
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