Provider Demographics
NPI:1700300456
Name:FOCUS MENTAL HEALTH SOLUTIONS OF LONG ISLAND, INC.
Entity Type:Organization
Organization Name:FOCUS MENTAL HEALTH SOLUTIONS OF LONG ISLAND, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:STACY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHOENBACH
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:631-707-2394
Mailing Address - Street 1:150 BROADHOLLOW RD STE 310
Mailing Address - Street 2:
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-4987
Mailing Address - Country:US
Mailing Address - Phone:516-906-4970
Mailing Address - Fax:
Practice Address - Street 1:150 BROADHOLLOW RD STE 310
Practice Address - Street 2:
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-4987
Practice Address - Country:US
Practice Address - Phone:516-906-4970
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty