Individual
LAUREN TITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 E MIDDLE COUNTRY RD STE 310, SMITHTOWN, NY 11787-2814
(516) 639-1876
Mailing address
222 E MIDDLE COUNTRY RD STE 310, SMITHTOWN, NY 11787-2814
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F402768
NY
Other
Enumeration date
04/28/2019
Last updated
03/24/2022
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