Lissy Mathew Kochupurackal, is a
Clinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent based in Bellerose, New York. Lissy Mathew Kochupurackal is licensed to practice in New York (license number 0714671) and her current practice location is
8141 249th St, Bellerose, New York. She can be reached at her office (for appointments etc.) via phone at
(917) 601-3543.
NPI number for Lissy Mathew Kochupurackal is 1205470333 and her current mailing address is 8141 249th St, Bellerose, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205470333.
Provider's Profile
| Full Name | Lissy Mathew Kochupurackal |
|---|
| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent |
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| Location | 8141 249th St, Bellerose, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1205470333
- Provider Enumeration Date: 10/31/2019
- Last Update Date: 10/31/2019
Medical Identifiers
Medical identifiers for Lissy Mathew Kochupurackal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205470333 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 364SP0807X | Clinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent | 0714671 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lissy Mathew Kochupurackal is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lissy Mathew Kochupurackal,
8141 249th St,
Bellerose, NY 11426-2517
Ph: (917) 601-3543 | Lissy Mathew Kochupurackal,
8141 249th St,
Bellerose, NY 11426-2517
Ph: (917) 601-3543 |
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