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Organization
JNK NP IN PSYCHIATRY PC
Active
Organization
JNK NP IN PSYCHIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KASAMBA JOSEPH (PMHNP-BC)
(347) 336-0582
Entity
Organization
Contact information
Practice address
470 ROUTE 211 E STE 24, MIDDLETOWN, NY 10940-2252
(347) 336-0582
Mailing address
PO BOX 1155, MONROE, NY 10949-8155
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
—
—
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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