| Organization Name: | BEHAVIORAL HEALTH NURSE PRACTITIONER PSYCHIATRIC SERVICES PC |
| NPI Number: | 1043606015 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEBRA COANE (OFFICE MANAGER) |
| Mailing Address: | 28 Annandale Rd Commack |
| State: | NY US |
| Postal Code: | 117251745 |
| Phone Number: | 6313871496 |
| Fax Number: | 6318934020 |
| NPI Enumeration Date: | 04/07/2015 |
| NPI Last Update Date: | 05/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | F401327 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |