Organization
MARY MITCHELL HADDAD PMHNP LLC
Active
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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