Provider Demographics
NPI:1902473465
Name:CONNECTIONS - PSYCHIATRIC NP SERVICES, PLLC
Entity Type:Organization
Organization Name:CONNECTIONS - PSYCHIATRIC NP SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SACHAKOV
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:631-766-5215
Mailing Address - Street 1:17 BUCKLEY ST
Mailing Address - Street 2:
Mailing Address - City:LIBERTY
Mailing Address - State:NY
Mailing Address - Zip Code:12754-1704
Mailing Address - Country:US
Mailing Address - Phone:631-766-5215
Mailing Address - Fax:
Practice Address - Street 1:17 BUCKLEY ST UNIT 2
Practice Address - Street 2:
Practice Address - City:LIBERTY
Practice Address - State:NY
Practice Address - Zip Code:12754-1704
Practice Address - Country:US
Practice Address - Phone:631-766-5215
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-04
Last Update Date:2021-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty