Healthcare Provider Details

I. General information

NPI: 1821916883
Provider Name (Legal Business Name): ARELYS ITWARU NP IN PSYCHIATRY P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

282 COOK ST
HUNTINGTON STATION NY
11746-3524
US

IV. Provider business mailing address

282 COOK ST
HUNTINGTON STATION NY
11746-3524
US

V. Phone/Fax

Practice location:
  • Phone: 516-715-5099
  • Fax:
Mailing address:
  • Phone: 516-715-5099
  • Fax: 516-217-1504

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ARELYS ITWARU
Title or Position: PMHNP
Credential: NP
Phone: 516-715-5099