| Serenity Np In Psychiatry Services Pllc | |
|
42 Broadway Fl 12 New York NY 10004-1617 | |
| (646) 347-6935 | |
| (646) 974-8309 |
| Full Name | Serenity Np In Psychiatry Services Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 42 Broadway Fl 12, New York, New York |
| Authorized Official Name and Position | Nneka Mbadiwe (OWNER) |
| Authorized Official Contact | 3025216128 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Np In Psychiatry Services Pllc 3336 Fulton St Unit 29 Brooklyn NY 11208-2004 Ph: (302) 521-6128 | Serenity Np In Psychiatry Services Pllc 42 Broadway Fl 12 New York NY 10004-1617 Ph: (646) 347-6935 |
| NPI Number | 1487470340 |
|---|---|
| Provider Enumeration Date | 11/25/2024 |
| Last Update Date | 06/02/2025 |
| Medicare PECOS PAC ID | 6406382829 |
|---|---|
| Medicare Enrollment ID | O20241209003757 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487470340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Nneka Mbadiwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467992891 PECOS PAC ID: 8527430875 Enrollment ID: I20230306001406 |
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