Organization
DAWN PERISA PSYCHIATRY NP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN J PERISA PMHNP-BC (OWNER)
(631) 662-6161
Entity
Organization
Contact information
Practice address
36 HARLEY AVE, EAST NORTHPORT, NY 11731-4911
(631) 662-6161
(631) 266-4503
Mailing address
36 HARLEY AVE, EAST NORTHPORT, NY 11731-4911
(374) 556-0994
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05137962
—
NY
Enumeration date
03/22/2021
Last updated
10/26/2023
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