PARK EAST NP IN PSYCHIATRY NPI 1477321305

NPI Information

  • NPI: 1477321305
  • Provider Name: PARK EAST NP IN PSYCHIATRY
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 1735 YORK AVE APT 29E
    NEW YORK, NY
    ZIP 10128
  • Phone: (347) 415-0774

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NPI Details

PARK EAST NP IN PSYCHIATRY is a psychiatric/mental health nurse practitioner in New York, NY. PARK EAST NP IN PSYCHIATRY NPI is 1477321305. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1735 YORK AVE APT 29E
NEW YORK, NY
ZIP 10128-861
Phone: (347) 415-0774

The provider's authorized official is Ilana Khononov .
The authorized official title is Owner and has the following contact phone number (347) 415-0774.

The enumeration date for this NPI number is 12/20/2023 and was last updated on 12/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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