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NPI Code Detail

MEDICARE: RAISA SUELYN HARRINGTON PMHNP-BC

MEDICARE:   RAISA SUELYN HARRINGTON  PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse767430NY
2363LP0808XPsychiatric/Mental Health Nurse Practitioner405522NY

General Provider Information

NPI Number : 1043851215
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAISA SUELYN HARRINGTON PMHNP-BC
Provider Business Mailing Address
First Line : 710 E 93RD ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-1428
Country : US
Telephone Number : 929-302-0432
Fax Number :
Provider Business Practice Location Address
First Line : 2412 CHURCH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11226-4005
Country : US
Telephone Number : 855-681-8700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2019
Last Update Date : 04/03/2024

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Directions to “ RAISA SUELYN HARRINGTON PMHNP-BC” Practice Location

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