Individual provider · Type 1 NPI

Sibimol Niravath, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Medford, NY

NPI number 1235956095 Active

Practice location

1727 N Ocean Ave
Medford, NY 11763-2649

Mailing address

21 Fernwood Dr
Commack, NY 11725-4715

Other practice locations

  • 75-59 263rd Street, Glen Oaks, NY 11004 · (718) 470-8100

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X406360 (NY)

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

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About NPI 1235956095

Sibimol Niravath, PMHNP-BC's National Provider Identifier is 1235956095, issued on Sep 23, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Medford, NY. The record was last updated on Apr 11, 2025.