# URBAN LIGHT PSYCHIATRIC NP PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1750987566
- **Authorized official:** MR. EDWARD K AFFUL NPP (MANAGER)
- **Authorized official phone:** (347) 543-4726

## Contact information

- **Practice address:** 180 S BROADWAY STE 406, WHITE PLAINS, NY 10605-1820
- **Practice address phone:** (347) 543-4726
- **Practice address fax:** (914) 222-8921
- **Mailing address:** 180 S BROADWAY STE 406, WHITE PLAINS, NY 10605-1820
- **Mailing address phone:** (347) 543-4726
- **Mailing address fax:** (914) 222-8921

## 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:** 12/07/2020
- **Last updated:** 11/04/2024