# MARY ANN PESTRAK NP IN PSYCHIATRY PLLC

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

## Provider details

- **NPI number:** 1568122646
- **Authorized official:** MISS MARY ANN PESTRAK NP (PSYCHIATRIC NURSE PRACTITIONER)
- **Authorized official phone:** (516) 737-7018

## Contact information

- **Practice address:** 30 HEMPSTEAD AVE STE 152, ROCKVILLE CENTRE, NY 11570-4034
- **Practice address phone:** (516) 737-7018
- **Practice address fax:** (516) 981-2316
- **Mailing address:** 3579 WYANET ST, SEAFORD, NY 11783-3011
- **Mailing address phone:** (718) 316-8725
- **Mailing address fax:** (516) 331-3175

## 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:** 12/30/2021
- **Last updated:** 04/10/2026
