| Equilibrio Nurse Practitioner In Psychiatry Pllc | |
|
4770 Sunrise Hwy Ste 105 Massapequa Park NY 11762-2911 | |
| (516) 500-1105 | |
| (516) 385-1550 |
| Full Name | Equilibrio Nurse Practitioner In Psychiatry Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4770 Sunrise Hwy Ste 105, Massapequa Park, New York |
| Authorized Official Name and Position | Sean Dellasperanzo (PMHNP/OWNER) |
| Authorized Official Contact | 5165001105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Equilibrio Nurse Practitioner In Psychiatry Pllc 4770 Sunrise Hwy Ste 105 Massapequa Park NY 11762-2911 Ph: (516) 500-1105 | Equilibrio Nurse Practitioner In Psychiatry Pllc 4770 Sunrise Hwy Ste 105 Massapequa Park NY 11762-2911 Ph: (516) 500-1105 |
| NPI Number | 1023790532 |
|---|---|
| Provider Enumeration Date | 08/03/2023 |
| Last Update Date | 03/24/2026 |
| Certification Date | 03/24/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023790532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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