Individual provider · Type 1 NPI

Iris Mack, RN

Psychiatric/Mental Health Registered Nurse · Hicksville, NY

NPI number 1407730716 Active

Practice location

120 Bethpage Rd
Hicksville, NY 11801-1515

Fax (631) 430-2347

Mailing address

292 Maryland Ave
Freeport, NY 11520-1018

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse Primary 163WP0808X992079 (NY)

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

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About NPI 1407730716

Iris Mack, RN's National Provider Identifier is 1407730716, issued on Aug 1, 2025. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Hicksville, NY. The record was last updated on Aug 1, 2025.