Organization · Type 2 NPI
Mental Health Nurse Practitioner Consultation Services PC
Psychiatric/Mental Health Nurse Practitioner · Smithtown, NY
NPI number
1114122991
Active
Practice location
637 Veterans Hwy
Smithtown, NY 11787-4309
Fax (631) 656-9765
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | F400083 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1114122991
Mental Health Nurse Practitioner Consultation Services PC's National Provider Identifier is 1114122991, issued on Jun 20, 2007. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Smithtown, NY. The record was last updated on Jan 12, 2015.