Organization
NANCY C. DEACON, PSYCHIATRIC NURSE PRACTITIONER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY DEACON (PRESIDENT)
(631) 495-7762
Entity
Organization
Contact information
Practice address
80 SALEM RIDGE DR, HUNTINGTON, NY 11743-3015
(631) 495-7762
Mailing address
150 BROADHOLLOW RD, SUITE 310, MELVILLE, NY 11747-4905
(631) 636-7050
(631) 549-1097
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401406-1
NY
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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