Recover Undercover Llc

LBN: Recover Undercover Llc
Recover Undercover Llc is an health care organization with primary practice located at 39 Wheeler Rd , Central Islip NY 11722-2122. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Lodging, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is the primary health care specialty. Recover Undercover Llc can be contacted via phone (631) 546-8849, or through Randolph, Cathy via phone (631) 546-8849.

Contact Information

Primary practice address
39 Wheeler Rd Central Islip NY 11722-2122
Phone: (631) 546-8849
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Randolph, Cathy Nurse Practitioner (NP)
Phone: (631) 546-8849

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lodging 177F00000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1730956293
LBN Legal business name Recover Undercover Llc
DBA Doing business as
Authorized official Randolph, Cathy Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2023
Last updated Jan 7th, 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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