Organization Name: | PAULA KAY KERMANI NP PSYCHIATRY PC |
NPI Number: | 1326279324 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAULA KAY KERMANI (OWNER) |
Mailing Address: | 1110 Route 55 Suite 204 Lagrangeville |
State: | NY US |
Postal Code: | 125405045 |
Phone Number: | 9144748453 |
Fax Number: | 8452278233 |
NPI Enumeration Date: | 08/07/2009 |
NPI Last Update Date: | 08/07/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | F400915 |
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: |