| Peter Bourque Np | |
|
1650 Sycamore Ave Bohemia NY 11716-1738 | |
| (631) 317-1024 | |
| Not Available |
| Full Name | Peter Bourque Np |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 1650 Sycamore Ave, Bohemia, New York |
| Authorized Official Name and Position | Peter Ralph Bourque (OWNER) |
| Authorized Official Contact | 8609606675 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Bourque Np 2813 Mcdougall Dr Conway SC 29526-4153 Ph: (860) 960-6675 | Peter Bourque Np 1650 Sycamore Ave Bohemia NY 11716-1738 Ph: (631) 317-1024 |
| NPI Number | 1629810585 |
|---|---|
| Provider Enumeration Date | 06/11/2024 |
| Last Update Date | 10/03/2024 |
| Certification Date | 10/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629810585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
Joseph Vollaro Phd Neuropsychologist Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1461 Lakeland Ave Unit 12, Bohemia, NY 11716 Phone: 631-732-4794 Fax: 631-732-0355 | |
Resilient Counseling Lcsw Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4109 Sunrise Hwy, Bohemia, NY 11716 Phone: 631-503-1539 | |
Just 4 You Family Support Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 608 Johnson Ave Ste 2, Bohemia, NY 11716 Phone: 631-575-8062 | |
Institute For Rational Counseling Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 30 Floyds Run, Bohemia, NY 11716 Phone: 631-567-7760 Fax: 631-567-5172 | |
Suffolk Family Therapy Lcsw Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 606 Johnson Ave Ste 34, Bohemia, NY 11716 Phone: 631-503-1539 | |
Fire Island Pines Psychotherapy Lcsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 606 Johnson Ave Ste 9, Bohemia, NY 11716 Phone: 631-201-9692 Fax: 631-203-9599 | |
Dynamic Pathways, Lcsw, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Johnson Ave Ste C13, Bohemia, NY 11716 Phone: 631-960-8575 Fax: 631-315-1090 |