Organization · Type 2 NPI
Further Nurse Practitioner In Psychiatry Practice PLLC
Psychiatric/Mental Health Nurse Practitioner · West Babylon, NY
NPI number
1063358711
Active
Practice location
609 Route 109 Ste 2D
West Babylon, NY 11704-5000
Fax (631) 983-6132
Mailing address
445 Broad Hollow Rd, Suite 25 #40
Melville, NY 11747
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1063358711
Further Nurse Practitioner In Psychiatry Practice PLLC's National Provider Identifier is 1063358711, issued on Apr 27, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in West Babylon, NY. The record was last updated on Apr 27, 2026.