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1093433898
ENVISION PSYCHIATRIC NURSE PRACTITIONER PLLC
VALLEY STREAM, NY
NPI
1093433898
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Entity Type
Organization
Authorized Contact
TAMARA GORDON
Owner
516-988-0974
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2022-08-17
Last Update Date
2022-08-17
Business Address
ENVISION PSYCHIATRIC NURSE PRACTITIONER PLLC
70 E SUNRISE HWY STE 500
VALLEY STREAM, NY 11581-1233
Phone number: 516-988-0974
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Mailing Address
ENVISION PSYCHIATRIC NURSE PRACTITIONER PLLC
70 E SUNRISE HWY STE 500
VALLEY STREAM, NY 11581-1233
Phone number: 516-988-0974
Copy
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