Organization · Type 2 NPI
Psychiatric Nurse Practitioner Services PC
Psychiatric/Mental Health Nurse Practitioner · Northport, NY
NPI number
1124340641
Active
Practice location
5036 Jericho Turnpike, Suite 203
Northport, NY 11725
Fax (631) 462-5258
Mailing address
5036 Jericho Turnpike
Northport, NY 11768
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1124340641
Psychiatric Nurse Practitioner Services PC's National Provider Identifier is 1124340641, issued on Feb 25, 2010. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Northport, NY. The record was last updated on Mar 25, 2011.