Organization
LIFE REIMAGINED, NP IN PSYCHIATRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TASHONNA WEBSTER PHD, PMHNP (OWNER)
(516) 229-1394
Entity
Organization
Contact information
Practice address
51 COMMANDER AVE, GARDEN CITY, NY 11530-6607
(516) 642-5761
Mailing address
405 RXR PLZ, UNIONDALE, NY 11556-3811
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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