# ISLAND LIGHTHOUSE CONSULTATION SERVICES, NP IN PSYCHIATRY, P.C.

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

## Provider details

- **NPI number:** 1558034835
- **Authorized official:** MR. JOHN DANIEL PRATO PMHNP-BC (PRESIDENT)
- **Authorized official phone:** (516) 399-0797

## Contact information

- **Practice address:** 627 BROADWAY STE 200, MASSAPEQUA, NY 11758-5031
- **Practice address phone:** (516) 399-0797
- **Mailing address:** 627 BROADWAY STE 200, MASSAPEQUA, NY 11758-5031
- **Mailing address phone:** (516) 399-0797

## 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:** 07/31/2021
- **Last updated:** 11/18/2024