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Organization
NORTH SHORE PSYCHIATRIC NP
Active
Organization
NORTH SHORE PSYCHIATRIC NP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARA WEINBERG PMHNP-BC (NURSE PRACTITIONER)
(516) 588-7376
Entity
Organization
Contact information
Practice address
1129 NORTHERN BLVD STE 404, MANHASSET, NY 11030-3022
(516) 588-7376
Mailing address
1129 NORTHERN BLVD STE 404, MANHASSET, NY 11030-3022
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
07/27/2022
Last updated
07/27/2022
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