Champion Community Partners, LLC
Champion Community Partners, LLC is a Psychiatric/Mental Health Nurse Practitioner in Massapequa Park, New York. Registered with an NPI since 2025.
- In the registry since
- 2025
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5100 Sunrise HwyMassapequa Park, NY 11762-2935
Phone: (631) 696-4357
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X |
|---|
Record details
| NPI number | 1922989144 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tracey Wallace — Vp Ops · (631) 696-4357 |
| NPI enumerated | September 12, 2025 |
| Last updated in NPPES | September 12, 2025 |
| Certification date | September 12, 2025 |
| Mailing address | 1377 Motor Pkwy Ste 102, Islandia, NY 11749-5249 |
Other providers in Massapequa Park
-
Robert Blair, PMHNP, RN
5100 Sunrise Hwy Fl 2, Massapequa Park, NY 11762-2935 · (516) 715-1356
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Sean Dellasperanzo, PMHNP
4770 Sunrise Hwy, Massapequa Park, NY 11762-2911 · (516) 500-1105
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Erika Leigh Deo, PMHNP-BC
45 Park Blvd, Massapequa Park, NY 11762-3640 · (908) 892-8955