Individual provider · Type 1 NPI

Denise Driscoll

Psychiatric/Mental Health Nurse Practitioner · Port Jefferson, NY

NPI number 1164575080 Active

Practice location

75 N Country Rd
Port Jefferson, NY 11777-2119

Call (631) 473-1320 Map

Fax (631) 473-3091

Mailing address

625 Belle Terre Rd, Suite 100
Port Jefferson, NY 11777-2316

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XF400242-1 (NY)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1164575080

Denise Driscoll's National Provider Identifier is 1164575080, issued on Jan 22, 2007. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Port Jefferson, NY. The record was last updated on Apr 30, 2015.