Organization · Type 2 NPI

Integrative Wellness Nurse Practitioner In Psychiatry PLLC

Psychiatric/Mental Health Nurse Practitioner · New York, NY

NPI number 1336745058 Active

Practice location

157 E 86th St Ste 4
New York, NY 10028-2175

Call (718) 790-4511 Map

Fax (646) 809-8707

Mailing address

169 Madison Ave Ste 38577
New York, NY 10016-5101

Other practice locations

  • 145 Palisade St Ste 200, Dobbs Ferry, NY 10522-1627 · (718) 790-4511
  • 3580 Mystic Pointe Dr Ste 116, Aventura, FL 33180-2554 · (718) 790-4511
  • 103 Townsend Ave # 93, Johnstown, NY 12095-1002 · (718) 790-4511
  • 354 Hempstead Ave Ste 101, West Hempstead, NY 11552-2050 · (718) 790-4511
  • 300 Carnegie Ctr Ste 150, Princeton, NJ 08540-6285 · (718) 790-4511

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1336745058

Integrative Wellness Nurse Practitioner In Psychiatry PLLC's National Provider Identifier is 1336745058, issued on Dec 8, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in New York, NY. The record was last updated on Dec 18, 2025.