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Organization
HEALTHY MIND BODY NP IN FAMILY HEALTH, PLLC
Active
Organization
HEALTHY MIND BODY NP IN FAMILY HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA PREVILLON NP (FAMILY NURSE PRACTITIONER)
(718) 598-4903
Entity
Organization
Contact information
Practice address
7 RUTH CT, NEW HAMPTON, NY 10958
(718) 598-4903
(929) 290-0328
Mailing address
470 ROUTE 211 E STE 24, MIDDLETOWN, NY 10940-2252
(718) 598-4903
(929) 290-0328
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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