Provider Demographics
NPI:1598439051
Name:ALEEN BOYD-MCKOY NURSE PRACTITIONER IN PSYCHIATRY, PLLC
Entity Type:Organization
Organization Name:ALEEN BOYD-MCKOY NURSE PRACTITIONER IN PSYCHIATRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:ALEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BOYD-MCKOY
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:347-603-6022
Mailing Address - Street 1:988 LITTLE WHALENECK RD
Mailing Address - Street 2:
Mailing Address - City:MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-1223
Mailing Address - Country:US
Mailing Address - Phone:347-603-6022
Mailing Address - Fax:
Practice Address - Street 1:115 S CORONA AVE
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-6217
Practice Address - Country:US
Practice Address - Phone:718-877-3019
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALEEN BOYD-MCKOY NURSE PRACTITIONER IN PSYCHIATRY, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-08-06
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)