# PSYCHIATRIC NURSE PRACTITIONER THERAPEUTIC PRACTICE OF NEW YORK, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326403395
- **Authorized official:** MEREDITH B. HOBART NP (OWNER)
- **Authorized official phone:** (212) 518-1915

## Contact information

- **Practice address:** 300 MERCER ST, SUITE 11F, NEW YORK, NY 10003-6724
- **Practice address phone:** (212) 518-1915
- **Mailing address:** 300 MERCER ST, SUITE 11F, NEW YORK, NY 10003-6724
- **Mailing address phone:** (212) 518-1915

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | F401192-1 | NY | Yes |

## Other

- **Enumeration date:** 12/17/2015
- **Last updated:** 12/23/2015