Organization · Type 2 NPI
South Shore NP Psychiatry, PLLC
Psychiatric/Mental Health Nurse Practitioner · Wantagh, NY
NPI number
1629847124
Active
Practice location
3330 Park Avenue, Suite 9 2nd Floor
Wantagh, NY 11793-3719
Fax (516) 879-3099
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Other psychiatric/mental health nurse practitioner providers in Wantagh
About NPI 1629847124
South Shore NP Psychiatry, PLLC's National Provider Identifier is 1629847124, issued on Dec 26, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Wantagh, NY. The record was last updated on Nov 20, 2025.