# EMMIE MACALISANG, NURSE PRACTITIONER IN PSYCHIATRY PLLC

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

## Provider details

- **NPI number:** 1922804517
- **Authorized official:** EMMIE MACALISANG (PMHNP-BC)
- **Authorized official phone:** (347) 673-1384

## Contact information

- **Practice address:** 25 MELVILLE PARK RD STE 236, MELVILLE, NY 11747-3178
- **Practice address phone:** (347) 673-1384
- **Mailing address:** 3520 35TH ST APT C21, ASTORIA, NY 11106-1655

## 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:** 02/24/2025
- **Last updated:** 02/24/2025