Individual provider · Type 1 NPI

Brian Yudhistira, NP

Psychiatric/Mental Health Nurse Practitioner · New York, NY

NPI number 1508442567 Active

Practice location

80 5th Ave
New York, NY 10011-8002

Fax (718) 750-9135

Mailing address

210 Waverly Ave
Kenmore, NY 14217-1056

Other practice locations

  • 210 Waverly Ave, Kenmore, NY 14217-1056 · (347) 229-3939
  • 3176 Abbott Rd Ste 800, Orchard Park, NY 14127-1069 · (716) 391-5700
  • 254 Franklin St Fl 1, Buffalo, NY 14202-1932 · (716) 852-1117

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse 163WP0808X752585 (NY)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X403375 (NY)

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

100 other providers at this address

Other psychiatric/mental health nurse practitioner providers in New York

See all in New York →

About NPI 1508442567

Brian Yudhistira, NP's National Provider Identifier is 1508442567, issued on Mar 21, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in New York, NY. The record was last updated on Jul 6, 2024.