Individual provider · Type 1 NPI
Phillies Daitey
Psychiatric/Mental Health Nurse Practitioner · New York, NY
NPI number
1659258028
Active
Practice location
1 Gustave L Levy Pl Fl 12
New York, NY 10029-6574
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | F406073-01 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1659258028
Phillies Daitey's National Provider Identifier is 1659258028, issued on Aug 18, 2025. 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 Aug 18, 2025.