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

Brian Yudhistira, NP

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1508442567

Brian Yudhistira, NP is a Psychiatric/Mental Health Registered Nurse in New York, New York. Works from 4 locations. Licensed in New York.

Licensed in
NY
In the registry since
2021
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

80 5th Ave
New York, NY 10011-8002
Phone: (347) 707-7735
Fax: (718) 750-9135
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 254 Franklin St Fl 1, Buffalo, NY 14202-1932 — (716) 852-1117
  • 210 Waverly Ave, Kenmore, NY 14217-1056 — (347) 229-3939
  • 3176 Abbott Rd Ste 800, Orchard Park, NY 14127-1069 — (716) 391-5700

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 403375 (NY)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 752585 (NY)

Record details

NPI number1508442567
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 21, 2021
Last updated in NPPESJuly 6, 2024
Certification dateJuly 12, 2023

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