# SK NURSE PRACTITIONER IN PSYCHIATRY P.C

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

## Provider details

- **NPI number:** 1801727656
- **Authorized official:** SCOTT KOLESAR-KHAN NP (OWNER)
- **Authorized official phone:** (516) 515-9595

## Contact information

- **Practice address:** 3119 NEWTOWN AVE STE 500, ASTORIA, NY 11102-1392
- **Practice address phone:** (516) 515-9595
- **Practice address fax:** (516) 534-5053
- **Mailing address:** 3119 NEWTOWN AVE STE 500, ASTORIA, NY 11102-1392
- **Mailing address phone:** (516) 515-9595
- **Mailing address fax:** (516) 534-5053

## 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:** 05/28/2026
- **Last updated:** 05/28/2026