Lauren Mizak, NP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Bronxville, NY
NPI 1437700283 · NPPES record last updated Mar 23, 2022
Key facts
- NPI
- 1437700283
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 402605 (NY)
- Practice address
- 55 Palmer Ave
Bronxville, NY 10708-3403 - Phone
- (914) 787-5000
- NPI assigned
- Sep 24, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 402605 | NY | Yes |
Addresses
Primary practice location
55 Palmer Ave
Bronxville, NY 10708-3403
Mailing address
55 Palmer Ave
Bronxville, NY 10708-3403
Other providers in Bronxville, NY
- Charmaine C Miller I
- Ariel Millhauser
- Mindview Mental Health Counseling, PLLC
- Ayesha Fahad Mir
- Saeid Mirafzali
- ML Gastroenterology PLLC
- Brandon Scott Mogrovejo
- David Nonyelum Momah
- Dayana Morales
- Rebecca Morales
All providers in Bronxville, NY · Psychiatric/Mental Health Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.