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

Lissy Mathew Kochupurackal

Individual provider Child & Adolescent Psychiatric/Mental Health Registered Nurse · NPI 1205470333

Lissy Mathew Kochupurackal is a Child & Adolescent Psychiatric/Mental Health Registered Nurse in Bellerose, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019

Practice location Address checks out

7403 Commonwealth Blvd
Bellerose, NY 11426-1839
Phone: (917) 601-3543
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0807X · Licence 0714671 (NY)

Record details

NPI number1205470333
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 31, 2019
Last updated in NPPESMay 14, 2024
Certification dateMay 14, 2024

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