Organization
MIND BRIDGE HEALTH NP IN PSYCHIATRY
Active
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
405 LEXINGTON AVE FL 26, NEW YORK, NY 10174-2699
(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
08/26/2026
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