| Organization Name: | ANN E. PERRY-BLIZZARD NP-PSYCHIATRY, P.C. |
| NPI Number: | 1134429376 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANN E PERRY-BLIZZARD (NP-PSYCHIATRY) |
| Mailing Address: | 140 Belle Meade Road, Suite A Setauket |
| State: | NY US |
| Postal Code: | 11733 |
| Phone Number: | 6316895390 |
| Fax Number: | 6316895395 |
| NPI Enumeration Date: | 10/21/2010 |
| NPI Last Update Date: | 10/21/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | F401214-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |