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NPI Code Detail

MEDICARE: SERENE MIND NP PSYCHIATRY

MEDICARE: SERENE MIND NP PSYCHIATRY
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1710811690
Entity Type Code : Organization
Provider Name (Legal Business Name) : SERENE MIND NP PSYCHIATRY
Provider Business Mailing Address
First Line : 2425 EASTCHESTER RD
Second Line :
City : BRONX
State : NY
Zip : 10469-5932
Country : US
Telephone Number : 718-534-0044
Fax Number : 929-801-2051
Provider Business Practice Location Address
First Line : 2425 EASTCHESTER RD
Second Line :
City : BRONX
State : NY
Zip : 10469-5932
Country : US
Telephone Number : 718-534-0044
Fax Number : 929-801-2051
Authorized Official
Title or Position : CEO
Name : EVA NYARKO
Credential : PMHNP
Telephone Number : 718-534-0044
Provider Enumeration Date : 06/09/2026
Last Update Date : 06/09/2026

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