Organization
HUDSON MENTAL WELLNESS NURSE PRACT IN PSYCH®ISTERED PROF NURSE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIGITTE GORDON (NURSE PRACTITIONER PSYCHIATRY)
(484) 680-1355
Entity
Organization
Contact information
Practice address
145, PALISADE ST STE 200, DOBBS FERRY, NY 10522
(484) 680-1355
Mailing address
145, PALISADE ST STE 200, DOBBS FERRY, NY 10522
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
401775
NY LICENSE
NY
Enumeration date
10/14/2019
Last updated
10/14/2019
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