Individual provider · Type 1 NPI

Amy C. Dittler, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Patchogue, NY

NPI number 1366761009 Active

Practice location

450 Waverly Ave, Ste 11
Patchogue, NY 11772-1555

Mailing address

282 Auborn Ave
Shirley, NY 11967-1734

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse 163WP0808X639551 (NY)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XF402005 (NY)

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

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About NPI 1366761009

Amy C. Dittler, PMHNP-BC's National Provider Identifier is 1366761009, issued on May 20, 2010. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Patchogue, NY. The record was last updated on Mar 25, 2020.