# SUFFOLK PSYCHIATRIC NP SERVICES PLLC

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

## Provider details

- **NPI number:** 1316678535
- **Authorized official:** JANINE DESIMONE PMHNP-BC (OWNER/ NP)
- **Authorized official phone:** (631) 921-1949

## Contact information

- **Practice address:** 732 SMITHTOWN BYP STE 206, SMITHTOWN, NY 11787-5020
- **Practice address phone:** (631) 780-4103
- **Practice address fax:** (631) 250-9215
- **Mailing address:** 7 BRASSWOOD RD, SAINT JAMES, NY 11780-3411
- **Mailing address phone:** (631) 921-1949
- **Mailing address fax:** (631) 250-9215

## 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:** 06/20/2022
- **Last updated:** 03/13/2024