Lissy Mathew Kochupurackal, - Clinical Nurse Specialist in Bellerose, NY

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.

Contact Information

Lissy Mathew Kochupurackal,
8141 249th St,
Bellerose, NY 11426-2517
(917) 601-3543
Not Available



Provider's Profile

Full NameLissy Mathew Kochupurackal
GenderFemale
SpecialityClinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent
Location8141 249th St, Bellerose, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  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.
IdentifierTypeStateIssuer
1205470333NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SP0807XClinical 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 AddressPractice 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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Clinical Nurse Specialist Nurses in Bellerose, NY

Ms. Dolly Ann Benedict, RN-BC, MSN
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 7403 Commonwealth Blvd Bldg 55, Bellerose, NY 11426
Phone: 718-264-4610    

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