Organization
MIND BRIDGE HEALTH NP IN PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA FULLER PMHNP (OWNER)
(347) 424-4799
Entity
Organization
Contact information
Practice address
445 PARK AVE FL 990167, NEW YORK, NY 10022-2606
(347) 424-4799
(347) 238-3674
Mailing address
445 PARK AVE FL 990167, NEW YORK, NY 10022-2606
(347) 424-4799
(347) 238-3674
Taxonomy
Speciality
Code
Description
License number
State
364SP0813X
Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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