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Organization
LIANDRA WAISOME NURSE PRACTITIONER IN PSYCHIATRY, PLLC
Active
Organization
LIANDRA WAISOME NURSE PRACTITIONER IN PSYCHIATRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIANDRA WAISOME EDWARDS (MANAGING MEMBER)
(917) 748-5699
Entity
Organization
Contact information
Practice address
469 DELAFIELD AVE, STATEN ISLAND, NY 10310-2012
(917) 748-5699
Mailing address
469 DELAFIELD AVE, STATEN ISLAND, NY 10310-2012
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
12/23/2025
Last updated
12/23/2025
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