# NURSE PRACTITIONER PSYCHIATRY & PSYCHOLOGY SERVICES, PLLC

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

## Provider details

- **NPI number:** 1477166585
- **Authorized official:** DR. HOWARD ROMBOM PH.D. (OWNER)
- **Authorized official phone:** (516) 466-2636

## Contact information

- **Practice address:** 310 E SHORE RD STE 100, GREAT NECK, NY 11023-2432
- **Practice address phone:** (516) 466-2636
- **Practice address fax:** (516) 464-0203
- **Mailing address:** 310 E SHORE RD STE 100, GREAT NECK, NY 11023-2432
- **Mailing address phone:** (516) 466-2636
- **Mailing address fax:** (516) 464-0203

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TH0100X | Health Service Psychologist | — | NULL | — |
| 103TH0100X | Health Service Psychologist | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/28/2020
- **Last updated:** 08/28/2020