Provider Demographics
NPI:1477308088
Name:NURSE PRACTITIONERS IN PSYCHIATRY GROUP, PLLC
Entity Type:Organization
Organization Name:NURSE PRACTITIONERS IN PSYCHIATRY GROUP, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEONID
Authorized Official - Middle Name:
Authorized Official - Last Name:STOSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:513-885-3724
Mailing Address - Street 1:701 RIDGE HILL BLVD UNIT 8G
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-7724
Mailing Address - Country:US
Mailing Address - Phone:513-885-3724
Mailing Address - Fax:
Practice Address - Street 1:701 RIDGE HILL BLVD UNIT 8G
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-7724
Practice Address - Country:US
Practice Address - Phone:513-885-3724
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-18
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty