Healthcare Provider Details

I. General information

NPI: 1851588495
Provider Name (Legal Business Name): THERAPY & MEDICATION TREATMENT, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2007
Last Update Date: 04/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1961 ROUTE 6
CARMEL NY
10512-2323
US

IV. Provider business mailing address

32 OLD FARM RD
CARMEL NY
10512-5065
US

V. Phone/Fax

Practice location:
  • Phone: 845-225-4707
  • Fax: 845-225-4719
Mailing address:
  • Phone: 914-924-7724
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberF400499-1
License Number StateNY

VIII. Authorized Official

Name: MS. SHARI WARD
Title or Position: PRESIDENT
Credential: NP-PSYCHIATRY
Phone: 914-924-7724