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Organization
CLEAR VIEW NP IN PSYCHIATRY PC
Active
Organization
CLEAR VIEW NP IN PSYCHIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHRUMA ISLAM NP (OWNER)
(847) 305-0810
Entity
Organization
Contact information
Practice address
4016 74TH ST, ELMHURST, NY 11373-5602
(718) 682-7090
Mailing address
600 5TH AVE, NEW HYDE PARK, NY 11040-5450
(847) 305-0810
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/28/2023
Last updated
09/30/2026
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