Organization
RESPOND NURSE PRACTITIONER IN PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS PINARD NPP (MEMBER)
(631) 379-1077
Entity
Organization
Contact information
Practice address
6 SHINNECOCK CT, COMMACK, NY 11725-1347
(631) 379-1077
Mailing address
6 SHINNECOCK CT, COMMACK, NY 11725-1347
(631) 379-1077
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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