Organization
ENVISION PSYCHIATRIC NURSE PRACTITIONER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMARA GORDON NP (OWNER)
(516) 988-0974
Entity
Organization
Contact information
Practice address
70 E SUNRISE HWY STE 500, VALLEY STREAM, NY 11581-1233
(516) 988-0974
Mailing address
70 E SUNRISE HWY STE 500, VALLEY STREAM, NY 11581-1233
(516) 988-0974
(718) 719-4217
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/17/2022
Last updated
08/17/2022
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