MARY ANN PESTRAK NP IN PSYCHIATRY PLLC NPI 1568122646

NPI Information

NPI: 1568122646
Provider Name: MARY ANN PESTRAK NP IN PSYCHIATRY PLLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
3579 WYANET ST
SEAFORD, NY
ZIP 11783
Phone: (516) 737-7018
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MARY ANN PESTRAK NP IN PSYCHIATRY PLLC is a psychiatric/mental health nurse practitioner in Seaford, NY. MARY ANN PESTRAK NP IN PSYCHIATRY PLLC NPI is 1568122646. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3579 WYANET ST
SEAFORD, NY
ZIP 11783-011
Phone: (516) 737-7018
Fax: (516) 331-3175

The provider's authorized official is Mary Ann Pestrak .
The authorized official title is Psychiatric Nurse Practitioner and has the following contact phone number (516) 737-7018.

The enumeration date for this NPI number is 12/30/2021 and was last updated on 12/30/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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