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Organization
ISLAND LIGHTHOUSE CONSULTATION SERVICES, NP IN PSYCHIATRY, P.C.
Active
Organization
ISLAND LIGHTHOUSE CONSULTATION SERVICES, NP IN PSYCHIATRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DANIEL PRATO PMHNP-BC (PRESIDENT)
(516) 399-0797
Entity
Organization
Contact information
Practice address
627 BROADWAY STE 200, MASSAPEQUA, NY 11758-5031
(516) 399-0797
Mailing address
627 BROADWAY STE 200, MASSAPEQUA, NY 11758-5031
(516) 399-0797
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/31/2021
Last updated
11/18/2024
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