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Organization

OBERG PSYCHIATRIC NURSE PRACTITIONER, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA OBERG NPP (OWNER)
(518) 669-7434
Entity
Organization

Contact information

Practice address
855 ROUTE 146 STE 104, CLIFTON PARK, NY 12065-3890
(518) 630-6547
(518) 303-5157
Mailing address
16 LAKEVIEW RD, SARATOGA SPGS, NY 12866-8705
(518) 669-7434
(518) 871-1265

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary

Other

Enumeration date
10/18/2016
Last updated
01/14/2026
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