Organization
MARY MITCHELL HADDAD PMHNP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY MITCHELL HADDAD RN, MSN, PMHNP (PMHNP)
(203) 952-7571
Entity
Organization
Contact information
Practice address
211 E 43RD ST RM 1305, NEW YORK, NY 10017-4779
(203) 952-7571
(212) 642-5111
Mailing address
960 GREEN CIR, ORANGE, CT 06477-1736
(203) 952-7571
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
F402319-1
NY
Other
Enumeration date
02/09/2018
Last updated
03/17/2018
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