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Organization

ST JAMES PSYCHIATRY & TMS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TASIA HENDERSON (OWNER)
(347) 776-2917
Entity
Organization

Contact information

Practice address
405 RXR PLZ STE 405, UNIONDALE, NY 11556-3811
(508) 233-8985
Mailing address
405 RXR PLZ STE 405, UNIONDALE, NY 11556-3811

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
07/18/2023
Last updated
07/18/2023
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