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

SP Nurse Practitioner in Adult Health PC

Organization Adult Health Nurse Practitioner · NPI 1316654353

SP Nurse Practitioner in Adult Health PC is an Adult Health Nurse Practitioner in Long Beach, New York. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

428 E Harrison St
Long Beach, NY 11561-2346
Phone: (212) 961-6767
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Adult Health Nurse Practitioner Taxonomy 363LA2200X

Record details

NPI number1316654353
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Seda Port — Owner · (212) 961-6767
NPI enumeratedOctober 31, 2022
Last updated in NPPESMarch 30, 2023
Certification dateMarch 30, 2023
Mailing address428 E Harrison St, Long Beach, NY 11561-2346

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