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Organization
NP IN PSYCHIATRY PLLC
Active
Organization
NP IN PSYCHIATRY PLLC
Active
Other names
Werking
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL PRESTON JR. NP (BUSINESS OWNER)
(908) 379-8633
Entity
Organization
Contact information
Practice address
303 5TH AVE RM 1116, NEW YORK, NY 10016-6601
(917) 475-6251
Mailing address
303 5TH AVE RM 1105, NEW YORK, NY 10016-6668
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/29/2024
Last updated
06/25/2025
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