Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Peter Bourque NP LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1629810585

Peter Bourque NP LLC is a Psychiatric/Mental Health Nurse Practitioner in Bohemia, New York. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1650 Sycamore Ave Ste 39
Bohemia, NY 11716-1736
Phone: (631) 213-1770
Fax: (631) 315-8042
Show map & directions

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 number1629810585
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jocelyn Verbeke — Coo And Practice Manager · (631) 213-1770
NPI enumeratedJune 11, 2024
Last updated in NPPESJanuary 31, 2026
Certification dateJanuary 31, 2026
Mailing address1650 Sycamore Ave Ste 39, Bohemia, NY 11716-1736

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