Individual provider · Type 1 NPI
Jack Suriano, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Stony Brook, NY
NPI number
1275313165
Active
Practice location
Putnam Hall
Stony Brook, NY 11794-0001
Other practice locations
- 500 Commack Rd, Commack, NY 11725-5020 · (631) 632-2428
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 405310-01 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1275313165
Jack Suriano, PMHNP-BC's National Provider Identifier is 1275313165, issued on Sep 29, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Stony Brook, NY. The record was last updated on Sep 18, 2025.