Healthcare Provider Details

I. General information

NPI: 1184333536
Provider Name (Legal Business Name): CHAMIRA PSYCHIATRIC NP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2022
Last Update Date: 11/15/2022
Certification Date: 11/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 TOWN HILL RD
NANUET NY
10954-5937
US

IV. Provider business mailing address

165 N VILLAGE AVE STE 12
ROCKVILLE CTR NY
11570-3701
US

V. Phone/Fax

Practice location:
  • Phone: 917-667-2201
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CAROLINE FINMAN
Title or Position: ADMINISTRATOR
Credential:
Phone: 516-517-6444