Individual provider · Type 1 NPI

Phyllis Provost, APRN

Psychiatric/Mental Health Registered Nurse · Hauppauge, NY

NPI number 1972656783 Active

Practice location

750 Veterans Hwy
Hauppauge, NY 11788-2943

Call (631) 724-5522 Map

Fax (631) 724-5546

Mailing address

77 Ridge Rd
Southampton, NY 11968-3608

Specialties and licenses

Taxonomy	Code	License
Psychiatric/Mental Health Registered Nurse Primary	163WP0808X	270668-1 (NY)

Psychiatric/Mental Health Registered Nurse: Definition to come...

2 other providers at this address

Alan S. Flicker, PhDPsychologist Hauppauge, NY NPI 1891825485
Daniel A. Goldfarb, PhDClinical Psychologist Hauppauge, NY NPI 1093878688

Other psychiatric/mental health registered nurse providers in Hauppauge

Stuart HerroldPsychiatric/Mental Health Registered Nurse Hauppauge, NY NPI 1821656141

See all in Hauppauge →

About NPI 1972656783

Phyllis Provost, APRN's National Provider Identifier is 1972656783, issued on Jan 18, 2007. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Hauppauge, NY. The record was last updated on Jul 8, 2007.