Organization
SUFFOLK PSYCHIATRIC NP SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANINE DESIMONE PMHNP-BC (OWNER/ NP)
(631) 921-1949
Entity
Organization
Contact information
Practice address
732 SMITHTOWN BYP STE 206, SMITHTOWN, NY 11787-5020
(631) 780-4103
(631) 250-9215
Mailing address
7 BRASSWOOD RD, SAINT JAMES, NY 11780-3411
(631) 921-1949
(631) 250-9215
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/20/2022
Last updated
03/13/2024
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