Provider Demographics
NPI:1962270710
Name:AMSTERDAM COMMUNITY CARE GROUP LLC
Entity type:Organization
Organization Name:AMSTERDAM COMMUNITY CARE GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BELINDA
Authorized Official - Middle Name:INDRANI
Authorized Official - Last Name:NARINE
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE PRACTITIONER
Authorized Official - Phone:516-610-0834
Mailing Address - Street 1:612 MAIN ST STE 220
Mailing Address - Street 2:
Mailing Address - City:STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18360-2006
Mailing Address - Country:US
Mailing Address - Phone:516-610-0834
Mailing Address - Fax:516-706-4257
Practice Address - Street 1:612 MAIN ST STE 220
Practice Address - Street 2:
Practice Address - City:STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18360-2006
Practice Address - Country:US
Practice Address - Phone:516-610-0834
Practice Address - Fax:516-706-4257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-12
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty