Individual provider · Type 1 NPI
Bryan Lackey, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · New York, NY
NPI number
1891305645
Active
Practice location
230 Park Ave Fl 3
New York, NY 10169-0018
Fax (949) 419-3482
Other practice locations
- 221 River St, 9th Floor, Hoboken, NJ 07030 · (201) 308-8252
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NJ01045800 (NJ) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 403117 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1891305645
Bryan Lackey, PMHNP-BC's National Provider Identifier is 1891305645, issued on Aug 6, 2020. 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 14, 2022.