# HAVEN REEF NURSE PRACTITIONER IN PSYCHIATRY PLLC

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

## Provider details

- **NPI number:** 1982557773
- **Authorized official:** SOLOMON WEAVER PMHNP (OWNER)
- **Authorized official phone:** (646) 942-7828

## Contact information

- **Practice address:** 114 5TH AVE FLOOR 2, NEW YORK, NY 10011
- **Practice address phone:** (646) 212-0063
- **Mailing address:** PO BOX 120160, STATEN ISLAND, NY 10312-0160

## 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:** 02/19/2026
- **Last updated:** 02/19/2026
