Maryellen Blank in West Islip - Psychiatric/mental Health, Adult
Maryellen Blank - NPI 1609930015
Maryellen Blank is a Psychiatric/mental Health, Adult in West Islip, New York. Maryellen Blank practices all healthcare services and medical treatments related to Psychiatric/mental Health, Adult. The NPI Number for Maryellen Blank is 1609930015. The last update date is 2022-02-10.
Maryellen Blank's current location address is 170 Driftwood Dr, West Islip, New York. You can contact this provider via phone number 6314227362. The mailing address for Maryellen Blank is 170 Driftwood Dr, West Islip, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maryellen Blank |
|---|---|
| Address | 170 Driftwood Dr, West Islip, New York |
| Phone Number | 6314227362 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1609930015 |
|---|---|
| Provider Enumeration Date | 2006-12-20 |
| Last Updated Date | 2022-02-10 |
Provider Mailing Address Detail
| Address | 170 Driftwood Dr |
|---|---|
| City | West Islip |
| State | New York (NY) |
| Post Code | 117955002 |
| Phone Number | 6314227362 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health, Adult |
|---|---|
| Taxonomy | 364Sp0809X |
| Licence No | 400620 |
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Definition: A psychiatric clinical nurse specialist expert in caring for adult patients. |
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What is the unique 10-digit identifier code issued to Maryellen Blank by the Centers for Medicare & Medicaid Services?
The Maryellen Blank has been assigned the NPI (National Provider Identifier) 1609930015 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Maryellen Blank located?
The Maryellen Blank is located at 170 Driftwood Dr, West Islip, NY 117955002.
What is Maryellen Blank's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Maryellen Blank is Psychiatric/mental Health, Adult, and the taxonomy classification code that categorizes this area of expertise is 364Sp0809X.
On what date was the 1609930015 assigned to Maryellen Blank?
The Maryellen Blank was issued its 1609930015 on 2006-12-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Maryellen Blank's details last updated?
The information pertaining to the Maryellen Blank, including its address, specialty, and other details, was most recently updated on 2022-02-10.