IndividualActive
Amy Dittler, PMHNP-BC
NPI 1366761009 · Psychiatric/Mental Health Nurse Practitioner · Patchogue, NY
Provider details
- NPI number
- 1366761009
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 639551 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
450 Waverly Ave
Ste 11
Patchogue, NY 11772-1555
Phone: (917) 385-9195
Approximate (ZIP-level) locationGet directions
Mailing address
282 Auborn Ave
Shirley, NY 11967-1734
Registry dates
- Enumerated
- 2010-05-20
- Last updated
- 2020-03-25
- Certified
- 2020-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.