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General NPI Number Information
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NPI Number | 1336856467
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Entity Type | Organization
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Legal Business Name | M AND M PSYCHIATRIC NURSE PRACTITIONER SERVICES PLLC
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Dates
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Enumeration Date | 10/28/2022
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Last Update Date | 10/28/2022
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Provider Practice Location Address
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Address Line | 7 MARCUS GARVEY BLVD STE 427
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City | BROOKLYN
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State | NY
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Zip | 11206-5303
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Country | US
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Telephone | 516-581-1357
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Fax | 917-410-6866
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Provider Business Mailing Address
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Address Line | 3280 OCEAN HARBOR DR
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City | OCEANSIDE
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State | NY
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Zip | 11572-3546
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Country | US
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Telephone | 516-581-1357
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Fax | 917-410-6866
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARINA CECERE
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Credential | DNP
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Telephone | 516-581-1357
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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