Provider Demographics
NPI:1396569133
Name:OPPONG NP IN PSYCHIATRY PLLC
Entity type:Organization
Organization Name:OPPONG NP IN PSYCHIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP / AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:JOHNSON
Authorized Official - Middle Name:
Authorized Official - Last Name:OPPONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-817-3806
Mailing Address - Street 1:7 LIMESTONE RD
Mailing Address - Street 2:
Mailing Address - City:ARMONK
Mailing Address - State:NY
Mailing Address - Zip Code:10504-2306
Mailing Address - Country:US
Mailing Address - Phone:914-817-3806
Mailing Address - Fax:
Practice Address - Street 1:7 LIMESTONE RD
Practice Address - Street 2:
Practice Address - City:ARMONK
Practice Address - State:NY
Practice Address - Zip Code:10504-2306
Practice Address - Country:US
Practice Address - Phone:914-817-3806
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-08
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty