# NUMBER OF THIS NOTICE: CP 575 G NURSE PRACTITIONER IN PSYCHIATRY CARE FOR WOMEN PLLC

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

## Provider details

- **NPI number:** 1689510372
- **Authorized official:** MRS. ANTHONY BARISANO PMHNP-BC (PSYCHIATRIC NURSE PRACTITIONER)
- **Authorized official phone:** (516) 697-1682

## Contact information

- **Practice address:** 101 HILLSIDE AVE STE 101, WILLISTON PARK, NY 11596-2347
- **Practice address phone:** (516) 231-2771
- **Practice address fax:** (516) 531-8931
- **Mailing address:** 36 FLAMINGO RD N, ROSLYN, NY 11576-2606
- **Mailing address phone:** (516) 697-1682
- **Mailing address fax:** (516) 531-8931

## 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:** 04/27/2026
- **Last updated:** 04/27/2026