Annamarie Goldblatt, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in Coram, NY. Individual provider (NPI-1).
NPI number1427384635
StatusActive
Last updated in NPPESJul 10, 2025
Details
- NPI
- 1427384635
- Entity type
- Individual (NPI-1)
- Name
- Annamarie Goldblatt
- Credential
- PMHNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 22, 2009
- Certification date
- Jul 10, 2025
- Last updated
- Jul 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | F400391-1 | NY | Yes |
| 364SP0810X | Clinical Nurse Specialist, Psych/Mental Health, Child & Family | F400391-1 | NY |
Practice location
3600 Route 112Coram, NY 11727-4116
Phone 631-920-8500
Mailing address
140 E Main St Ste 4Huntington, NY 11743-2844
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