| NPI | 1053180943 |
|---|---|
| Doing Business As | BLUE HERON INTEGRATIVE PSYCHIATRY |
| Entity Type | Organization |
| Authorized Contact | OMER MARGOLIN Owner 845-584-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-12-20 |
| Last Update Date | 2025-11-06 |