# DAWN MICHAEL NURSE PRACTITIONER IN PSYCHIATRY PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255155743
- **Authorized official:** DAWN MICHAEL NP (NURSE PRACTITIONER/OWNER)
- **Authorized official phone:** (631) 949-1878

## Contact information

- **Practice address:** 378 SYOSSET WOODBURY RD, WOODBURY, NY 11797-1200
- **Practice address phone:** (631) 949-1878
- **Mailing address:** 5 BREWSTER ST., PMB 136, GLEN COVE, NY 11542

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/11/2024
- **Last updated:** 11/11/2024