Individual provider · Type 1 NPI
Matthew G. Killian, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Melville, NY
NPI number
1275204778
Active
Practice location
200 Broadhollow Rd Ste 119
Melville, NY 11747-4846
Mailing address
121 Apple St
Brentwood, NY 11717-7214
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 403593 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1275204778
Matthew G. Killian, PMHNP's National Provider Identifier is 1275204778, issued on Sep 23, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Melville, NY. The record was last updated on Sep 23, 2021.