Organization
MODERN INTEGRATIVE WELLNESS NP IN PSYCHIATRY PC
Active
Organization
MODERN INTEGRATIVE WELLNESS NP IN PSYCHIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALANNA MONTALVAN NP (OWNER)
(646) 650-5032
Entity
Organization
Contact information
Practice address
125 E 23RD ST STE 300, NEW YORK, NY 10010-4588
(646) 650-5032
Mailing address
13 BRYCE AVE, GLEN COVE, NY 11542-2013
(347) 520-2837
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/23/2021
Last updated
10/08/2024
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