Organization
JOHN MROZ PSYCHIATRIC NURSE PRACTITIONER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MROZ PMHNP (PMHNP)
(631) 666-1615
Entity
Organization
Contact information
Practice address
107 W MAIN ST, EAST ISLIP, NY 11730-2337
(631) 666-1615
Mailing address
PO BOX 1672, COMMACK, NY 11725-0959
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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