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General NPI Number Information
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NPI Number | 1811856214
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Entity Type | Organization
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Legal Business Name | PATH NP IN PSYCHIATRY PLLC
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 3300 CONNER ST UNIT 22
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City | BRONX
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State | NY
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Zip | 10475-9928
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Country | US
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Telephone | 718-546-3265
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Fax |
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Provider Business Mailing Address
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Address Line | 3300 CONNER ST UNIT 22
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City | BRONX
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State | NY
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Zip | 10475-9928
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LATISHA MYRIE
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Credential | NP
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Telephone | 718-546-3265
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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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