Organization
AP NP IN PSYCHIATRY PC
Active
Organization
AP NP IN PSYCHIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA PLISCHTEJEW NP (CEO)
(631) 401-5834
Entity
Organization
Contact information
Practice address
77 N CENTRE AVE STE 207, ROCKVILLE CTR, NY 11570-3923
(631) 401-5834
Mailing address
77 N CENTRE AVE STE 207, ROCKVILLE CTR, NY 11570-3923
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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