Organization
SMILE PSYCHIATRIC NURSE PRACTITIONER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOUNJEA LEE NP (PMHNP/PROVIDER)
(347) 834-1117
Entity
Organization
Contact information
Practice address
152 COLONIAL AVE, WILLISTON PARK, NY 11596-1527
(347) 834-1117
Mailing address
152 COLONIAL AVE, WILLISTON PARK, NY 11596-1527
(347) 834-1117
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07374789
—
NY
Enumeration date
09/08/2021
Last updated
01/07/2023
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