Organization · Type 2 NPI

Great Lakes NP of Psychiatry, PLLC

Psychiatric/Mental Health Nurse Practitioner · West Seneca, NY

NPI number 1790273308 Active

About NPI 1790273308

Great Lakes NP of Psychiatry, PLLC's National Provider Identifier is 1790273308, issued on Apr 30, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in West Seneca, NY. The record was last updated on Apr 30, 2018.