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General NPI Number Information
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NPI Number | 1336371251
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Entity Type | Organization
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Legal Business Name | JEANNE M. MORRIS-FOLEY, NP PSYCHIATRY, P.C.
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Dates
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Enumeration Date | 08/11/2009
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Last Update Date | 04/25/2020
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Provider Practice Location Address
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Address Line | 4655 NESCONSET HWY
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City | PORT JEFFERSON STATION
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State | NY
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Zip | 11776-2579
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Country | US
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Telephone | 631-331-2424
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Fax | 631-642-7955
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Provider Business Mailing Address
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Address Line | 4655 NESCONSET HWY
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City | PORT JEFFERSON STATION
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State | NY
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Zip | 11776-2579
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Country | US
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Telephone | 631-331-2424
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Fax | 631-642-7955
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | TENNILLE BRAITHWAITE
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Credential |
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Telephone | 631-331-2424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | F4001811
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License Number State | NY
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