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Organization

DVH NP IN PSYCHIATRY SERVICES PLLC

Active
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Organization

DVH NP IN PSYCHIATRY SERVICES PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DUSTIN BRADFORD VON HOLTEN PMHNP (PMHNP)
(347) 573-9479
Entity
Organization

Contact information

Practice address
1185 AVENUE OF THE AMERICAS FL 3, NEW YORK, NY 10036-2600
(347) 573-9479
(347) 745-5913
Mailing address
2093 PHILADELPHIA PIKE # 7683, CLAYMONT, DE 19703-2424
(347) 573-9479

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
03/28/2024
Last updated
03/28/2024
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