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SP NURSE PRACTITIONER IN ADULT HEALTH PC
NPI 1316654353
Nurse Practitioner - Psychiatric/Mental Health in Long Beach, NY

Active since October 31, 2022
428 E HARRISON ST, LONG BEACH, NY 11561(212) 961-6767 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 30, 2023, Oct 31, 2022 (2 updates tracked since 2022).

About Sp Nurse Practitioner In Adult Health Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SP NURSE PRACTITIONER IN ADULT HEALTH PC (NPI 1316654353) is a healthcare organization registered as a psychiatric/mental health in Long Beach, New York and active in the NPI registry since October 2022. The organization lists Seda Angelina Port, Owner, as its authorized official.

NPPES Registry Identity

NPI1316654353
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSP NURSE PRACTITIONER IN ADULT HEALTH PC
Location Address428 E HARRISON STLong Beach, NY 11561-2346
Mailing Address428 E Harrison StLong Beach, NY 11561-2346 · (212) 961-6767
Phone(212) 961-6767
Organization SubpartNo
Authorized OfficialSeda Angelina PortOwner · (212) 961-6767
Enumeration DateOctober 31, 2022
Last NPPES UpdateMarch 30, 20232 updates tracked since enumeration
NPPES CertifiedMarch 30, 2023
✔ NPI 1316654353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
428 E HARRISON ST, Long Beach, NY 11561
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SEDA ANGELINA PORT NP
Nurse Practitioner (Adult Health)
428 E HARRISON ST
LONG BEACH, NY 11561
Nassau County (212) 961-6767

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sp Nurse Practitioner In Adult Health PC's NPI number?

The NPI number for Sp Nurse Practitioner In Adult Health PC is 1316654353. It was assigned to this organization in the NPPES registry on October 31, 2022.

Where is Sp Nurse Practitioner In Adult Health PC located?

Sp Nurse Practitioner In Adult Health PC is located at 428 E Harrison St, Long Beach, NY 11561. The listed phone number is (212) 961-6767.

What is Sp Nurse Practitioner In Adult Health PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Sp Nurse Practitioner In Adult Health PC was last updated on March 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.