Individual provider · Type 1 NPI

Mireille Altidort, RN

Child & Adolescent Psychiatric/Mental Health Registered Nurse · Orangeburg, NY

NPI number 1861903759 Active

Practice location

2 1st Ave
Orangeburg, NY 10962-1106

Mailing address

27 Sharon Dr
Spring Valley, NY 10977-6030

Other practice locations

  • 27 Sharon Dr, Spring Valley, NY 10977-6030 · (845) 538-0395

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse 164W00000X330047 (NY)
Child & Adolescent Psychiatric/Mental Health Registered Nurse Primary 163WP0807X819496 (NY)

Child & Adolescent Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1861903759

Mireille Altidort, RN's National Provider Identifier is 1861903759, issued on Oct 18, 2017. The primary taxonomy on file is Child & Adolescent Psychiatric/Mental Health Registered Nurse (163WP0807X), and the practice location is in Orangeburg, NY. The record was last updated on Dec 5, 2023.