Amsterdam Community Care Group LLC
Nurse Practitioner, Psych/Mental Health in Stroudsburg, PA. Organization (NPI-2).
NPI number1962270710
StatusActive
Last updated in NPPESDec 12, 2023
Details
- NPI
- 1962270710
- Entity type
- Organization (NPI-2)
- Legal business name
- Amsterdam Community Care Group LLC
- Organization subpart
- No
- Enumeration date
- Dec 12, 2023
- Certification date
- Dec 12, 2023
- Last updated
- Dec 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
| 104100000X | Social Worker | – | – |
Practice location
612 Main St Ste 220Stroudsburg, PA 18360-2006
Phone 516-610-0834 · Fax 516-706-4257
Mailing address
612 Main St Ste 220Stroudsburg, PA 18360-2006
Phone 516-610-0834 · Fax 516-706-4257
Authorized official
Belinda Indrani Narine
Co-Owner
5166100834
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