Provider Demographics
NPI:1972332633
Name:HELLO NP IN PSYCHIATRY PLLC
Entity type:Organization
Organization Name:HELLO NP IN PSYCHIATRY PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:LA RISA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, PMHNP, AGPCNP
Authorized Official - Phone:347-753-8833
Mailing Address - Street 1:6143 SPRINGFIELD BLVD UNIT 640221
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11364-3480
Mailing Address - Country:US
Mailing Address - Phone:347-753-8833
Mailing Address - Fax:
Practice Address - Street 1:6143 186TH ST STE 599
Practice Address - Street 2:
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11365-2710
Practice Address - Country:US
Practice Address - Phone:347-753-8833
Practice Address - Fax:347-851-8255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-31
Last Update Date:2024-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty