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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