Healthcare Provider Details

I. General information

NPI: 1144160219
Provider Name (Legal Business Name): CRISTINA DELMONICO NP IN PSYCHIATRY P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 KARL AVE STE 101
SMITHTOWN NY
11787-2744
US

IV. Provider business mailing address

634 MIDDLE COUNTRY RD
RIDGE NY
11961-2810
US

V. Phone/Fax

Practice location:
  • Phone: 631-664-4857
  • Fax: 631-366-3667
Mailing address:
  • Phone: 631-664-4857
  • Fax: 631-366-3667

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: CRISTINA DELMONICO
Title or Position: OWNER
Credential: NP
Phone: 631-664-4857