Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Further Nurse Practitioner in Psychiatry Practice PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1063358711

Further Nurse Practitioner in Psychiatry Practice PLLC is a Psychiatric/Mental Health Nurse Practitioner in West Babylon, New York. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

609 Route 109 Ste 2D
West Babylon, NY 11704-5000
Phone: (631) 318-4490
Fax: (631) 983-6132
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1063358711
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Tobin — Owner/Managing Member · (631) 318-4490
NPI enumeratedApril 27, 2026
Last updated in NPPESApril 27, 2026
Certification dateApril 26, 2026
Mailing address445 Broad Hollow Rd, Suite 25 #40, Melville, NY 11747

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