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NPI 1801476908

NPI 1801476908 : NP PSYCHIATRY FAMILY WELLNESS OF THE FINGER LAKES, PLLC : WATKINS GLEN, NY

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General NPI Number Information
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    NPI Number           |    1801476908
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    Entity Type          |    Organization 
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    Legal Business Name  |    NP PSYCHIATRY FAMILY WELLNESS OF THE FINGER LAKES, PLLC 
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Dates
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    Enumeration Date     |    04/12/2021
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    Last Update Date     |    01/28/2026
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Provider Practice Location Address
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    Address Line         |    2369 COUNTY ROAD 17 
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    City                 |    WATKINS GLEN
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    State                |    NY
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    Zip                  |    14891-9506
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    Country              |    US
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    Telephone            |    607-378-3426
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    Fax                  |    607-200-6396
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Provider Business Mailing Address
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    Address Line         |    2369 COUNTY ROAD 17 
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    City                 |    WATKINS GLEN
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    State                |    NY
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    Zip                  |    14891-9506
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    Country              |    US
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    Telephone            |    607-378-3426
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    Fax                  |    607-200-6396
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MRS. CHRISTY LYNN WILLIAMS 
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    Credential           |    PMHNP-BC
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    Telephone            |    607-346-1132
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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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