Provider Demographics
NPI:1578822672
Name:GARRIDO, ASTRID B (PMHNPP)
Entity Type:Individual
Prefix:
First Name:ASTRID
Middle Name:B
Last Name:GARRIDO
Suffix:
Gender:F
Credentials:PMHNPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:EAST NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11731-2123
Mailing Address - Country:US
Mailing Address - Phone:516-761-3489
Mailing Address - Fax:
Practice Address - Street 1:509 8TH AVE
Practice Address - Street 2:
Practice Address - City:EAST NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11731-2123
Practice Address - Country:US
Practice Address - Phone:516-761-3489
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-09
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY649248163W00000X
NY402759363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse