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Organization
DAWN MICHAEL NURSE PRACTITIONER IN PSYCHIATRY PC
Active
Organization
DAWN MICHAEL NURSE PRACTITIONER IN PSYCHIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN MICHAEL NP (NURSE PRACTITIONER/OWNER)
(631) 949-1878
Entity
Organization
Contact information
Practice address
378 SYOSSET WOODBURY RD, WOODBURY, NY 11797-1200
(631) 949-1878
Mailing address
5 BREWSTER ST., PMB 136, GLEN COVE, NY 11542
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
11/11/2024
Last updated
11/11/2024
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