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General NPI Number Information
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NPI Number | 1861315400
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Entity Type | Organization
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Legal Business Name | ASTRA PSYCHIATRY
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Dates
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Enumeration Date | 07/31/2026
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Last Update Date | 07/31/2026
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Provider Practice Location Address
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Address Line | 800 WESTCHESTER AVE STE N641
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City | RYE BROOK
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State | NY
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Zip | 10573-1360
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Country | US
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Telephone | 914-764-2954
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Fax |
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Provider Business Mailing Address
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Address Line | 243 TRESSER BLVD
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City | STAMFORD
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State | CT
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Zip | 06901-3436
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Country | US
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Telephone | 914-764-2954
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER
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Name | MR. KRISTOFER GENERALES
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Credential | DNP, PMHNP-BC
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Telephone | 914-413-2324
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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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