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DAWN MICHAEL NURSE PRACTITIONER IN PSYCHIATRY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAWN MICHAEL NP (NURSE PRACTITIONER/OWNER)
(631) 949-1878
Entity
Organization

Contact information

Practice address
378 SYOSSET WOODBURY RD, WOODBURY, NY 11797-1200
(631) 949-1878
Mailing address
5 BREWSTER ST., PMB 136, GLEN COVE, NY 11542

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
11/11/2024
Last updated
11/11/2024
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