# NANCY C. DEACON, PSYCHIATRIC NURSE PRACTITIONER, P.C.

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

## Provider details

- **NPI number:** 1891170544
- **Authorized official:** MRS. NANCY DEACON (PRESIDENT)
- **Authorized official phone:** (631) 495-7762

## Contact information

- **Practice address:** 80 SALEM RIDGE DR, HUNTINGTON, NY 11743-3015
- **Practice address phone:** (631) 495-7762
- **Mailing address:** 150 BROADHOLLOW RD, SUITE 310, MELVILLE, NY 11747-4905
- **Mailing address phone:** (631) 636-7050
- **Mailing address fax:** (631) 549-1097

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | F401406-1 | NY | Yes |

## Other

- **Enumeration date:** 07/23/2015
- **Last updated:** 07/23/2015