# FULLY WELLNESS NP IN PSYCHIATRY, PLLC

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

## Provider details

- **NPI number:** 1801790746
- **Authorized official:** YURIY BORTNIK (OWNER)
- **Authorized official phone:** (914) 708-3333

## Contact information

- **Practice address:** 520 WHITE PLAINS RD STE 500, TARRYTOWN, NY 10591-5118
- **Practice address phone:** (914) 708-3333
- **Practice address fax:** (914) 491-3297
- **Mailing address:** 520 WHITE PLAINS RD STE 500, TARRYTOWN, NY 10591-5118
- **Mailing address phone:** (914) 708-3333
- **Mailing address fax:** (914) 491-3297

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |

## Other

- **Enumeration date:** 10/05/2026
- **Last updated:** 10/05/2026