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Organization
SUMMIT NP IN PSYCHIATRY HEALTH SERVICES PLLC
Active
Organization
SUMMIT NP IN PSYCHIATRY HEALTH SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AWA NDOW (NP)
(719) 941-1400
Entity
Organization
Contact information
Practice address
749 E 135TH ST STE 306A, BRONX, NY 10454-3408
(716) 277-1941
(716) 306-6291
Mailing address
749 E 135TH ST STE 306A, BRONX, NY 10454-3408
(716) 277-1941
(716) 306-6291
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
09/15/2026
Last updated
09/15/2026
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