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GREAT WATER LAND SERVICES NURSE PRACTITIONER IN PSYCHIATRY PLLC
NPI 1386463040
Nurse Practitioner - Psychiatric/Mental Health in Massapequa, NY

Active since October 08, 2024
166 EUCLID AVE, MASSAPEQUA, NY 11758(516) 695-0389(956) 253-4627 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Great Water Land Services Nurse Practitioner In Psychiatry Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT WATER LAND SERVICES NURSE PRACTITIONER IN PSYCHIATRY PLLC (NPI 1386463040) is a healthcare organization registered as a psychiatric/mental health in Massapequa, New York and active in the NPI registry since October 2024. The organization lists Jill Ryan, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1386463040
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameGREAT WATER LAND SERVICES NURSE PRACTITIONER IN PSYCHIATRY PLLC
Location Address166 EUCLID AVEMassapequa, NY 11758-4207
Mailing Address166 Euclid AveMassapequa, NY 11758-4207 · (516) 695-0389 · Fax (956) 253-4627
Phone(516) 695-0389
Fax(956) 253-4627
Organization SubpartNo
Authorized OfficialJill RyanNurse Practitioner · (516) 695-0389
Enumeration DateOctober 8, 2024
NPPES CertifiedOctober 8, 2024
✔ NPI 1386463040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
166 EUCLID AVE, Massapequa, NY 11758
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Great Water Land Services Nurse Practitioner In Psychiatry PLLC's NPI number?

The NPI number for Great Water Land Services Nurse Practitioner In Psychiatry PLLC is 1386463040. It was assigned to this organization in the NPPES registry on October 8, 2024.

Where is Great Water Land Services Nurse Practitioner In Psychiatry PLLC located?

Great Water Land Services Nurse Practitioner In Psychiatry PLLC is located at 166 Euclid Ave, Massapequa, NY 11758. The listed phone number is (516) 695-0389.

What is Great Water Land Services Nurse Practitioner In Psychiatry PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Great Water Land Services Nurse Practitioner In Psychiatry PLLC was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.