Individual provider · Type 1 NPI
Ianina Suponitsky, AGNP
Psychiatric/Mental Health Nurse Practitioner · Brooklyn, NY
NPI number
1124407465
Active
Practice location
1773 E 12th St Apt 4D
Brooklyn, NY 11229-1041
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 402550 (NY) |
| Adult Health Nurse Practitioner | 363LA2200X | F307084-1 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1124407465
Ianina Suponitsky, AGNP's National Provider Identifier is 1124407465, issued on May 19, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Brooklyn, NY. The record was last updated on Oct 23, 2026.