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Organization

CHILDREN ADOLESCENT ADULTS NP IN PSYCHIATRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANISSA SALERNO (OWNER OF ENTITY)
(301) 241-6070
Entity
Organization

Contact information

Practice address
3700 ROUTE 44, MILLBROOK, NY 12545-5161
(301) 241-6070
(570) 410-8110
Mailing address
117 EDGEWOOD DR, OLD FORGE, PA 18518-1245
(301) 241-6070
(570) 410-8110

Taxonomy

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

Other

Enumeration date
02/15/2024
Last updated
08/01/2024
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