# ELIZABETH PICCOLO NP IN PSYCHIATRY PLLC

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

## Provider details

- **NPI number:** 1902391774
- **Authorized official:** MS. ELIZABETH PICCOLO PMHNP-BC (PSYCHIATRIC MENTAL HEALTH NP)
- **Authorized official phone:** (845) 639-0000

## Contact information

- **Practice address:** 151 S MAIN ST STE 306, NEW CITY, NY 10956-3544
- **Practice address phone:** (845) 639-0000
- **Practice address fax:** (845) 499-2537
- **Mailing address:** 151 S MAIN ST STE 306, NEW CITY, NY 10956-3544
- **Mailing address phone:** (845) 639-0000
- **Mailing address fax:** (845) 499-2537

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 401153 | NY | Yes |

## Other

- **Enumeration date:** 06/25/2018
- **Last updated:** 06/25/2018