# GRACE MROZ NP IN PSYCHIATRY PLLC

> 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:** 1346704038
- **Authorized official:** GRACE MROZ (OWNER)
- **Authorized official phone:** (631) 730-7503

## Contact information

- **Practice address:** 450 WAVERLY AVE STE 11, PATCHOGUE, NY 11772-1555
- **Practice address phone:** (631) 730-7503
- **Mailing address:** 450 WAVERLY AVE STE 11, PATCHOGUE, NY 11772-1555

## 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:** 01/26/2019
- **Last updated:** 01/26/2019