Healthcare Provider Details

I. General information

NPI: 1962270710
Provider Name (Legal Business Name): AMSTERDAM COMMUNITY CARE GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2023
Last Update Date: 12/12/2023
Certification Date: 12/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

612 MAIN ST STE 220
STROUDSBURG PA
18360-2006
US

IV. Provider business mailing address

612 MAIN ST STE 220
STROUDSBURG PA
18360-2006
US

V. Phone/Fax

Practice location:
  • Phone: 516-610-0834
  • Fax: 516-706-4257
Mailing address:
  • Phone: 516-610-0834
  • Fax: 516-706-4257

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: BELINDA INDRANI NARINE
Title or Position: CO-OWNER
Credential: NURSE PRACTITIONER
Phone: 516-610-0834