# LONG ISLAND PSYCHIATRIC SERVICES - NP IN PSYCHIATRY, PLLC

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

## Provider details

- **NPI number:** 1477951713
- **Authorized official:** DR. ZVI S YADIN PH.D, NP (NURSE PRACTITIO0NER IN PSYCHIATRY)
- **Authorized official phone:** (516) 456-9384

## Contact information

- **Practice address:** 21 REDWOOD LN, SMITHTOWN, NY 11787-2718
- **Practice address phone:** (516) 456-9384
- **Practice address fax:** (631) 297-8444
- **Mailing address:** 21 REDWOOD LANE, SMITHTOWN, NY 11787
- **Mailing address phone:** (516) 456-9384
- **Mailing address fax:** (631) 297-8444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 400794 | NY | Yes |

## Other

- **Enumeration date:** 12/19/2014
- **Last updated:** 12/19/2014
