Organization
ALEXIS CRISAFI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIS CRISAFI RN, BSN, PMHNP (NURSE PRACTITIONER)
(631) 235-4871
Entity
Organization
Contact information
Practice address
1420 OLD FORD RD, NEW PALTZ, NY 12561-2660
(631) 235-4871
Mailing address
1420 OLD FORD RD, NEW PALTZ, NY 12561-2660
(631) 235-4871
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
40401934
NY
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
40401934
NY
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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