# MIND OVER MATTER NP IN PSYCHIATRY AND FAMILY HEALTH P.C.

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

## Provider details

- **NPI number:** 1588249114
- **Authorized official:** ALEXANDER IVAN GUMBS FNP/PMHNP-BC (CEO)
- **Authorized official phone:** (718) 501-7859

## Contact information

- **Practice address:** 47 STUART DR, SYOSSET, NY 11791-5123
- **Practice address phone:** (718) 501-7859
- **Mailing address:** 47 STUART DR, SYOSSET, NY 11791-5123
- **Mailing address phone:** (718) 501-7859

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/15/2021
- **Last updated:** 03/15/2021
