Modern Psychiatric Nurse Practitioner PC
Modern Psychiatric Nurse Practitioner PC is a Psychiatric/Mental Health Nurse Practitioner in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2016.
- Licensed in
- NY
- In the registry since
- 2016
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1740 84th StBrooklyn, NY 11214-2825
Phone: (718) 855-8584
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 · Licence F401646 (NY) |
|---|
Record details
| NPI number | 1518415983 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Brighid Gannon — Owner · (212) 734-6621 |
| NPI enumerated | September 14, 2016 |
| Last updated in NPPES | January 19, 2023 |
| Certification date | January 19, 2023 |
| Mailing address | 191 Orchard St, Apt. 4d, New York, NY 10002-1415 |
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