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General NPI Number Information
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NPI Number | 1689510372
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Entity Type | Organization
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Legal Business Name | NUMBER OF THIS NOTICE: CP 575 G NURSE PRACTITIONER IN PSYCHIATRY CARE FOR WOMEN PLLC
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 101 HILLSIDE AVE STE 101
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City | WILLISTON PARK
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State | NY
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Zip | 11596-2347
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Country | US
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Telephone | 516-231-2771
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Fax | 516-531-8931
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Provider Business Mailing Address
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Address Line | 36 FLAMINGO RD N
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City | ROSLYN
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State | NY
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Zip | 11576-2606
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Country | US
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Telephone | 516-697-1682
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Fax | 516-531-8931
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Authorized Official
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Title or Position | PSYCHIATRIC NURSE PRACTITIONER
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Name | MRS. ANTHONY BARISANO
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Credential | PMHNP-BC
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Telephone | 516-697-1682
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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