Individual
CHARRISE MCCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
15 2ND AVE, BROOKLYN, NY 11215-2711
(212) 966-9537
Mailing address
15 2ND AVE FL 3, BROOKLYN, NY 11215-2711
(718) 514-6007
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
661997
NY
2084P0800X
Psychiatry Physician
Primary
404324
NY
Other
Enumeration date
04/22/2016
Last updated
11/07/2025
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