Organization
ISLAND LIGHTHOUSE CONSULTATION SERVICES, NP IN PSYCHIATRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DANIEL PRATO PMHNP-BC (PRESIDENT)
(516) 399-0797
Entity
Organization
Contact information
Practice address
627 BROADWAY STE 200, MASSAPEQUA, NY 11758-5031
(516) 399-0797
Mailing address
627 BROADWAY STE 200, MASSAPEQUA, NY 11758-5031
(516) 399-0797
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/31/2021
Last updated
11/18/2024
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