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General NPI Number Information
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NPI Number | 1770432338
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Entity Type | Organization
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Legal Business Name | GENERATIONAL WELLNESS NP IN PSYCHIATRY PC
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Dates
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Enumeration Date | 01/27/2026
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 116 SUMPTER ST
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City | BROOKLYN
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State | NY
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Zip | 11233-2344
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Country | US
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Telephone | 718-450-3948
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Fax | 718-689-7805
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Provider Business Mailing Address
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Address Line | 116 SUMPTER ST
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City | BROOKLYN
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State | NY
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Zip | 11233-2344
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Country | US
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Telephone | 718-450-3948
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Fax | 718-689-7805
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Authorized Official
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Title or Position | OWNER
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Name | PENDOR HAIYEDE
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Credential | PMHNP
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Telephone | 718-450-3948
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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