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Organization
EC PSYCHIATRIC NURSE PRACTITIONER PLLC
Active
Organization
EC PSYCHIATRIC NURSE PRACTITIONER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDNER CUVILLY NPP (NURSE PRACTITIONER PSYCHIATRY)
(646) 671-1187
Entity
Organization
Contact information
Practice address
21 ROBIN HOOD RD, SUFFERN, NY 10901-3820
(646) 671-1187
Mailing address
115 FRANKLIN TURNPIKE, PO BOX 168, MAHWAH, NJ 07430
(646) 671-1187
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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