| Nurse Practitioner Of Momemtum Psychiatric Wellness Services Pllc | |
|
230 Hilton Ave Ste 4 Hempstead NY 11550-8116 | |
| (929) 260-1720 | |
| Not Available |
| Full Name | Nurse Practitioner Of Momemtum Psychiatric Wellness Services Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 230 Hilton Ave Ste 4, Hempstead, New York |
| Authorized Official Name and Position | Alyshiann Taylor (OWNER) |
| Authorized Official Contact | 9292601720 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nurse Practitioner Of Momemtum Psychiatric Wellness Services Pllc 230 Hilton Ave Ste 4 Hempstead NY 11550-8116 Ph: () - | Nurse Practitioner Of Momemtum Psychiatric Wellness Services Pllc 230 Hilton Ave Ste 4 Hempstead NY 11550-8116 Ph: (929) 260-1720 |
| NPI Number | 1205681053 |
|---|---|
| Provider Enumeration Date | 04/23/2024 |
| Last Update Date | 04/23/2024 |
| Medicare PECOS PAC ID | 3678015732 |
|---|---|
| Medicare Enrollment ID | O20240605001215 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205681053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Alyshiann Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861716763 PECOS PAC ID: 5597127365 Enrollment ID: I20230810000869 |
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