# DVH NP IN PSYCHIATRY SERVICES PLLC

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

## Provider details

- **NPI number:** 1609627595
- **Authorized official:** DUSTIN BRADFORD VON HOLTEN PMHNP (PMHNP)
- **Authorized official phone:** (347) 573-9479

## Contact information

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

## 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:** 03/28/2024
- **Last updated:** 03/28/2024