Organization
SOUTH SHORE NP PSYCHIATRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATYANA GOYKHBERG PMHNP (NP)
(347) 741-9301
Entity
Organization
Contact information
Practice address
3330 PARK AVENUE, SUITE 9 2ND FLOOR, WANTAGH, NY 11793-3719
(516) 931-0619
(516) 879-3099
Mailing address
3330 PARK AVENUE, SUITE 9 2ND FLOOR, WANTAGH, NY 11793-3719
(516) 931-0619
(516) 879-3099
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/26/2023
Last updated
11/20/2025
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