Illuminate Np Psychiatry, Pllc

LBN: Illuminate Np Psychiatry
Illuminate Np Psychiatry, Pllc is an health care organization with primary practice located at 3055 Southwestern Blvd Ste 110 , Orchard Park NY 14127-1231. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as the primary health care specialty. Illuminate Np Psychiatry can be contacted via phone (716) 903-6036, or through Kotarski, Amy via phone (716) 903-6036.

Contact Information

Primary practice address
3055 Southwestern Blvd Ste 110 Orchard Park NY 14127-1231
Phone: (716) 903-6036
Fax: (716) 463-2225
Website:
Map and Directions
Authorized official contact:
Name: Kotarski, Amy
Phone: (716) 903-6036

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1871184424
LBN Legal business name Illuminate Np Psychiatry
DBA Doing business as Illuminate Np Psychiatry, Pllc
Authorized official Kotarski, Amy
Entity Organization
Organization subpart 1 No
Enumeration date Jan 27th, 2021
Last updated Mar 6th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871184424 NPPES
New York MEDICAID 05703237

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