Mary Kathleen Martin Nurse Practitioner In Psychiatry, Pllc

LBN: Mary Kathleen Martin Nurse Practitioner In Psychiatry, Pllc
Mary Kathleen Martin Nurse Practitioner In Psychiatry, Pllc is an health care organization with primary practice located at 21 W 2Nd St Suite 11, Riverhead NY 11901-2752. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Prescribing (Medical), which is considered as the primary health care specialty. Mary Kathleen Martin Nurse Practitioner In Psychiatry, Pllc can be contacted via phone (631) 624-7839, or through Martin, Mary via phone (631) 766-3210.

Contact Information

Primary practice address
21 W 2Nd St Suite 11 Riverhead NY 11901-2752
Phone: (631) 624-7839
Fax: (631) 865-5857
Website:
Map and Directions
Authorized official contact:
Name: Martin, Mary Nurse Practitioner (NP)
Phone: (631) 766-3210

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Prescribing (Medical) 103TP0016X 401909 New York

Profile Details

NPI number 1578921623
LBN Legal business name Mary Kathleen Martin Nurse Practitioner In Psychiatry, Pllc
DBA Doing business as
Authorized official Martin, Mary Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 4th, 2016
Last updated Feb 4th, 2016 - about 8 years ago

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 1578921623 NPPES
New York Other 13554525 CAQH

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