# BOARO CONSULTATIONS NURSE PRACTITIONER IN PSYCHIATRY PC

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

## Provider details

- **NPI number:** 1992975379
- **Authorized official:** DIANE BOARO FPMHNP-BC (PRESIDENT)
- **Authorized official phone:** (516) 721-1976

## Contact information

- **Practice address:** 3771 NESCONSET HWY, SUITE 208B, SOUTH SETAUKET, NY 11720-1163
- **Practice address phone:** (516) 721-1976
- **Practice address fax:** (631) 689-2055
- **Mailing address:** 33 CORNELL AVE, SMITHTOWN, NY 11787-3403

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | F400809 | NY | Yes |

## Other

- **Enumeration date:** 03/03/2008
- **Last updated:** 03/03/2008