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Organization
STALEY PSYCHIATRIC NURSE PRACTITIONER PLLC
Active
Organization
STALEY PSYCHIATRIC NURSE PRACTITIONER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA DOUGLAS-STALEY (PRESIDENT)
(718) 470-2245
Entity
Organization
Contact information
Practice address
19605 FOOTHILL AVE, HOLLIS, NY 11423-1413
(718) 470-2245
(718) 470-2245
Mailing address
19605 FOOTHILL AVE, HOLLIS, NY 11423-1413
(718) 470-2245
(718) 470-2245
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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