Individual provider · Type 1 NPI
Avesta Miriam Khursand, N.P
Psychiatric/Mental Health Nurse Practitioner · Huntington Station, NY
NPI number
1629445176
Active
Practice location
32 Thorney Ave
Huntington Station, NY 11746-3253
Mailing address
68 S Service Rd Ste 100
Melville, NY 11747-2350
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 401883 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1629445176
Avesta Miriam Khursand, N.P's National Provider Identifier is 1629445176, issued on Aug 31, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Huntington Station, NY. The record was last updated on Oct 13, 2026.