# HUDSON MENTAL WELLNESS NURSE PRACT IN PSYCH&REGISTERED PROF NURSE PLLC

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

## Provider details

- **NPI number:** 1437791258
- **Authorized official:** BRIGITTE GORDON (NURSE PRACTITIONER PSYCHIATRY)
- **Authorized official phone:** (484) 680-1355

## Contact information

- **Practice address:** 145, PALISADE ST STE 200, DOBBS FERRY, NY 10522
- **Practice address phone:** (484) 680-1355
- **Mailing address:** 145, PALISADE ST STE 200, DOBBS FERRY, NY 10522

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/14/2019
- **Last updated:** 10/14/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 401775 | NY LICENSE | NY |