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General NPI Number Information
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NPI Number | 1982481941
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Entity Type | Organization
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Legal Business Name | QUALITY TELEHEALTH NP IN PSYCHIATRY, PLLC
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Dates
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Enumeration Date | 09/13/2023
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Last Update Date | 04/16/2026
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Provider Practice Location Address
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Address Line | 1225 FRANKLIN AVE STE 325
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City | GARDEN CITY
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State | NY
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Zip | 11530-1693
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Country | US
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Telephone | 516-271-1919
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Fax | 516-529-6067
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Provider Business Mailing Address
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Address Line | 1225 FRANKLIN AVE STE 325
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City | GARDEN CITY
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State | NY
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Zip | 11530-1693
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Country | US
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Telephone | 516-271-1919
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Fax | 516-529-6067
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Authorized Official
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Title or Position | PMHNP-BC
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Name | YANDAMA BANGURA
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Credential |
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Telephone | 516-271-1919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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