Ruben Seide, PMHNP | |
125 Broad St Fl 3, New York, NY 10004-2768 | |
(929) 280-0120 | |
Not Available |
Full Name | Ruben Seide |
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Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 125 Broad St Fl 3, New York, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1396455291 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 734209 (New York) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 405643 (New York) | Primary |
Entity Name | Institute For Community Living , Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558494930 PECOS PAC ID: 3870482391 Enrollment ID: O20040312000818 |
Mailing Address | Practice Location Address |
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Ruben Seide, PMHNP 2581 Atlantic Ave Fl 2, Brooklyn, NY 11207-2412 Ph: (929) 280-0120 | Ruben Seide, PMHNP 125 Broad St Fl 3, New York, NY 10004-2768 Ph: (929) 280-0120 |
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Maureen Licursi, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 161 Fort Washington Ave, 7th Floor, New York, NY 10032 Phone: 212-305-2466 | |
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Mrs. Sharlene Seecharran, RN, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1275 York Ave, New York, NY 10065 Phone: 212-639-2203 | |
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