Organization
BOARO CONSULTATIONS NURSE PRACTITIONER IN PSYCHIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE BOARO FPMHNP-BC (PRESIDENT)
(516) 721-1976
Entity
Organization
Contact information
Practice address
3771 NESCONSET HWY, SUITE 208B, SOUTH SETAUKET, NY 11720-1163
(516) 721-1976
(631) 689-2055
Mailing address
33 CORNELL AVE, SMITHTOWN, NY 11787-3403
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400809
NY
Other
Enumeration date
03/03/2008
Last updated
03/03/2008
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