Provider Demographics
NPI:1346834645
Name:RHONDA LOKIREDDY PSYCHIATRIC NURSE PRACTITIONER AND FAMILY NP, PC.
Entity Type:Organization
Organization Name:RHONDA LOKIREDDY PSYCHIATRIC NURSE PRACTITIONER AND FAMILY NP, PC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:LOKIREDDY
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:516-263-5105
Mailing Address - Street 1:864 THIRD AVE
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN SQUARE
Mailing Address - State:NY
Mailing Address - Zip Code:11010
Mailing Address - Country:US
Mailing Address - Phone:516-263-5105
Mailing Address - Fax:516-714-3833
Practice Address - Street 1:864 THIRD AVE
Practice Address - Street 2:
Practice Address - City:FRANKLIN SQUARE
Practice Address - State:NY
Practice Address - Zip Code:11010-1829
Practice Address - Country:US
Practice Address - Phone:516-263-5105
Practice Address - Fax:516-714-3833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-26
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty