Individual
JESSE TAYLOR BUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
175 JERICHO TPKE STE 216, SYOSSET, NY 11791-4538
(844) 443-2563
Mailing address
315 ATLANTIC AVE APT 2P, EAST ROCKAWAY, NY 11518-1103
(516) 330-7724
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
760094
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F407602-01
NY
Other
Enumeration date
09/13/2024
Last updated
03/16/2026
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