# CONSTANCE DEFREEST PSYCHIATRIC NURSE PRACTITIONER PLLC

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

## Provider details

- **NPI number:** 1982071890
- **Authorized official:** CONSTANCE DEFREEST NP P (OWNER)
- **Authorized official phone:** (845) 632-2939

## Contact information

- **Practice address:** 1285 ROUTE 9, SUITE 7B, WAPPINGERS FALLS, NY 12590-4993
- **Practice address phone:** (845) 632-2939
- **Practice address fax:** (845) 632-2940
- **Mailing address:** 1285 ROUTE 9, SUITE 7B, WAPPINGERS FALLS, NY 12590-4993
- **Mailing address phone:** (845) 632-2939
- **Mailing address fax:** (845) 632-2940

## Taxonomy

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

## Other

- **Enumeration date:** 08/26/2015
- **Last updated:** 12/08/2015