Organization · NPI-2
Eden Group Health LLC
Nurse Practitioner, Psych/Mental Health · Albany, NY
NPI number1720894371
StatusActive
Last updated in NPPESJun 12, 2025
Details
- NPI
- 1720894371
- Entity type
- Organization (NPI-2)
- Legal business name
- Eden Group Health LLC
- Organization subpart
- No
- Enumeration date
- Dec 9, 2024
- Certification date
- Jun 12, 2025
- Last updated
- Jun 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
| 163WC0400X | Registered Nurse, Case Management | – | – | |
| 2083B0002X | Preventive Medicine, Obesity Medicine | – | – | |
| 363LF0000X | Nurse Practitioner, Family | – | – |
Practice location
418 Broadway Ste NAlbany, NY 12207-2922
Phone 201-788-9665 · Fax 201-569-2433
Mailing address
418 Broadway Ste NAlbany, NY 12207-2922
Phone 201-788-9665 · Fax 201-569-2433
Authorized official
Sherill L Lym
Executive Director
2017889665
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