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Organization
NANCY C. DEACON, PSYCHIATRIC NURSE PRACTITIONER, P.C.
Active
Organization
NANCY C. DEACON, PSYCHIATRIC NURSE PRACTITIONER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY DEACON (PRESIDENT)
(631) 495-7762
Entity
Organization
Contact information
Practice address
80 SALEM RIDGE DR, HUNTINGTON, NY 11743-3015
(631) 495-7762
Mailing address
150 BROADHOLLOW RD, SUITE 310, MELVILLE, NY 11747-4905
(631) 636-7050
(631) 549-1097
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401406-1
NY
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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