MEDICARE: PERSONAL CARE NP IN FAMILY HEALTH AND PSYCHIATRY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1033054267
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERSONAL CARE NP IN FAMILY HEALTH AND PSYCHIATRY PLLC

Provider Business Mailing Address
First Line	:	1731 E 46TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-3606
Country	:	US
Telephone Number	:	347-834-0484
Fax Number	:

Provider Business Practice Location Address
First Line	:	155 W MERRICK RD STE 201D
Second Line	:
City	:	FREEPORT
State	:	NY
Zip	:	11520-3743
Country	:	US
Telephone Number	:	516-452-5867
Fax Number	:

Authorized Official
Title or Position	:	OWNER/NURSE PRACTITIONER
Name	:	MS. KRISTY E RICHARD
Credential	:	FNP-BC, PMHNP-BC
Telephone Number	:	347-834-0484

Provider Enumeration Date	:	04/22/2026
Last Update Date	:	04/22/2026

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