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Organization

MINDFUL NP IN PSYCHIATRY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CASSANDRA FORTUNE (PMHNP-C)
(845) 659-4508
Entity
Organization

Contact information

Practice address
5 LAURA RD, MONROE, NY 10950-5206
(845) 659-4508
(845) 654-8645
Mailing address
5 LAURA RD, MONROE, NY 10950-5206

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
12/12/2024
Last updated
01/14/2026
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