# DIANE CATHERINE DEFILIPPO NURSE PRACTITIONER IN PSYCHIATRY PLLC

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

## Provider details

- **NPI number:** 1528593340
- **Authorized official:** DIANE CATHERINE DEFILIPPO MSN (NURSE PRACTITIONER)
- **Authorized official phone:** (516) 321-0966

## Contact information

- **Practice address:** 126 E PARK AVE, LONG BEACH, NY 11561-3510
- **Practice address phone:** (516) 321-0966
- **Practice address fax:** (516) 208-8430
- **Mailing address:** 126 E PARK AVE, LONG BEACH, NY 11561-3510
- **Mailing address phone:** (516) 321-0966
- **Mailing address fax:** (516) 208-8430

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 401781 | NY | Yes |

## Other

- **Enumeration date:** 04/30/2017
- **Last updated:** 04/30/2017