Pro Peace NP In Psychiatry PLLC
Nurse Practitioner, Psych/Mental Health in Staten Island, New York
1346012614- Practice location
- 981 Bay St, Staten Island, NY 10305-4903
- Phone
- 862-297-3732
- Fax
- —
- Last updated
- October 30, 2023
Pro Peace NP In Psychiatry PLLC is a healthcare organization based in Staten Island, NY. Pro Peace NP In Psychiatry PLLC practices in Staten Island, NY. The NPI Number for Pro Peace NP In Psychiatry PLLC is 1346012614. The current practice location address for Pro Peace NP In Psychiatry PLLC is 981 Bay St, Staten Island, NY 10305-4903 and can be reached out via phone at 862-297-3732.
Provider Profile Details
- NPI Number
- 1346012614
- Provider Name
- Pro Peace NP In Psychiatry PLLC
- Provider Entity Type
- Organization
- Address
- 981 Bay St, Staten Island, NY 10305-4903
- Phone Number
- 862-297-3732
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Organization Subpart
- No
- Authorized Official
- Olubunmi Adetule · Owner · 862-297-3732
- Provider Enumeration Date
- October 30, 2023
- Last Update Date
- October 30, 2023
- Certification Date
- October 30, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 981 Bay St
Staten Island, NY 10305-4903 - City
- Staten Island
- State
- New York
- Zip
- 10305-4903
- Phone Number
- 862-297-3732
Provider Business Mailing Address Details
- Address
- 11 Dundar RD Ste 207
Springfield, NJ 07081-3513 - City
- Springfield
- State
- NJ
- Zip
- 07081-3513
License Information
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Pro Peace NP In Psychiatry PLLC?
The NPI number of Pro Peace NP In Psychiatry PLLC is 1346012614. It was assigned on October 30, 2023 and is currently active in the NPPES registry.
What is the specialty of Pro Peace NP In Psychiatry PLLC?
Pro Peace NP In Psychiatry PLLC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X).
Where does Pro Peace NP In Psychiatry PLLC practice?
The practice location is 981 Bay St, Staten Island, NY 10305-4903. The office can be reached at 862-297-3732 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1346012614 directly on the NPPES registry website.