Healthcare Provider Details

I. General information

NPI: 1285886036
Provider Name (Legal Business Name): FAITH H GORING-BRITTON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2008
Last Update Date: 02/17/2023
Certification Date: 02/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1076 MAIN ST STE 201
FISHKILL NY
12524-3607
US

IV. Provider business mailing address

1076 MAIN ST STE 201
FISHKILL NY
12524-3607
US

V. Phone/Fax

Practice location:
  • Phone: 845-765-2711
  • Fax: 845-440-8389
Mailing address:
  • Phone: 845-765-2711
  • Fax: 845-440-8389

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number335732
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberF401675
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: