Compass NP In Psychiatry And Family Health NP, PLLC
Nurse Practitioner, Psych/Mental Health in Coram, NY. Organization (NPI-2).
NPI number1083391007
StatusActive
Last updated in NPPESOct 14, 2026
Details
- NPI
- 1083391007
- Entity type
- Organization (NPI-2)
- Legal business name
- Compass NP In Psychiatry And Family Health NP, PLLC
- Organization subpart
- Yes
- Enumeration date
- Jun 30, 2023
- Certification date
- Oct 14, 2026
- Last updated
- Oct 14, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
Other names
- Compass Family Health N.P., PLLC (Former Legal Business Name)
Practice location
1970 Route 112 Ste 6Coram, NY 11727-2300
Phone 631-336-2166 · Fax 631-336-2166
Mailing address
33 Tower Hill AveFarmingville, NY 11738-1912
Phone 631-336-2166 · Fax 631-336-2166
Authorized official
Michele Brunner
Owner
6313362166
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