Provider Demographics
NPI:1366885170
Name:NYC PSYCHIATRIC NURSE PRACTITIONER SERVICES, P.C.
Entity type:Organization
Organization Name:NYC PSYCHIATRIC NURSE PRACTITIONER SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUHANA
Authorized Official - Middle Name:
Authorized Official - Last Name:DELEON-SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:646-667-7340
Mailing Address - Street 1:1035 HALSEY ST
Mailing Address - Street 2:APT 1
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11207-1014
Mailing Address - Country:US
Mailing Address - Phone:646-667-7340
Mailing Address - Fax:
Practice Address - Street 1:1035 HALSEY ST
Practice Address - Street 2:GARDEN SUITE
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11207-1014
Practice Address - Country:US
Practice Address - Phone:646-667-7340
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-10
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY401218363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty