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Organization
JOHN MROZ PSYCHIATRIC NURSE PRACTITIONER PLLC
Active
Organization
JOHN MROZ PSYCHIATRIC NURSE PRACTITIONER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MROZ PMHNP (PMHNP)
(631) 666-1615
Entity
Organization
Contact information
Practice address
107 W MAIN ST, EAST ISLIP, NY 11730-2337
(631) 666-1615
Mailing address
PO BOX 1672, COMMACK, NY 11725-0959
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
01/09/2024
Last updated
01/09/2024
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