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1710633185
BLUE RIVER PSYCHIATRY NP PLLC
KINGSTON, NY
NPI
1710633185
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Entity Type
Organization
Authorized Contact
MINA JOHNSON
Practitioner
914-401-0008
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2022-02-24
Last Update Date
2024-03-14
Business Address
BLUE RIVER PSYCHIATRY NP PLLC
369 WASHINGTON AVE
KINGSTON, NY 12401-3701
Phone number: 914-401-0008
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Mailing Address
BLUE RIVER PSYCHIATRY NP PLLC
369 WASHINGTON AVE STE 1A
KINGSTON, NY 12401-3701
Phone number: 914-401-0008
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