Organization · Type 2 NPI
Behavioral Health Nurse Practitioner Psychiatric Services PC
Psychiatric/Mental Health Nurse Practitioner · Commack, NY
NPI number
1043606015
Active
Practice location
28 Annandale Rd
Commack, NY 11725-1745
Fax (631) 893-4020
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | F401327 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Other psychiatric/mental health nurse practitioner providers in Commack
About NPI 1043606015
Behavioral Health Nurse Practitioner Psychiatric Services PC's National Provider Identifier is 1043606015, issued on Apr 7, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Commack, NY. The record was last updated on May 20, 2015.