Organization
MIND OVER MATTER NURSE PRACTITIONER IN PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN TABLEMAN PMHNP (OWNER)
(631) 617-2817
Entity
Organization
Contact information
Practice address
620 ROUTE 25A STE C, MOUNT SINAI, NY 11766-2067
(631) 364-2647
Mailing address
9 SHILOH CT, CORAM, NY 11727-1642
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/18/2026
Last updated
02/18/2026
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