MEDICARE: SUSAN M. PERKINS NP PSYCHIATRY COUNSELING SERVICES, PLLC

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
1	364SP0808X	Psychiatric/Mental Health Clinical Nurse Specialist	F400830-1	NY

General Provider Information

NPI Number	:	1710153549
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUSAN M. PERKINS NP PSYCHIATRY COUNSELING SERVICES, PLLC

Provider Business Mailing Address
First Line	:	2345 ROUTE 52
Second Line	:	SUITE F
City	:	HOPEWELL JUNCTION
State	:	NY
Zip	:	12533-3218
Country	:	US
Telephone Number	:	845-797-2318
Fax Number	:	888-972-5017

Provider Business Practice Location Address
First Line	:	2345 ROUTE 52
Second Line	:	SUITE F
City	:	HOPEWELL JUNCTION
State	:	NY
Zip	:	12533-3218
Country	:	US
Telephone Number	:	845-797-2318
Fax Number	:	888-972-5017

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. SUSAN M. PERKINS
Credential	:	NP CASAC
Telephone Number	:	845-797-2318

Provider Enumeration Date	:	05/01/2008
Last Update Date	:	08/19/2016

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