# JNK NP IN PSYCHIATRY PC

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

## Provider details

- **NPI number:** 1750168936
- **Authorized official:** KASAMBA JOSEPH (PMHNP-BC)
- **Authorized official phone:** (347) 336-0582

## Contact information

- **Practice address:** 470 ROUTE 211 E STE 24, MIDDLETOWN, NY 10940-2252
- **Practice address phone:** (347) 336-0582
- **Mailing address:** PO BOX 1155, MONROE, NY 10949-8155

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | — | — | Yes |

## Other

- **Enumeration date:** 09/12/2023
- **Last updated:** 09/12/2023