Organization
MIND OVER MATTER NP IN PSYCHIATRY AND FAMILY HEALTH P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER IVAN GUMBS FNP/PMHNP-BC (CEO)
(718) 501-7859
Entity
Organization
Contact information
Practice address
47 STUART DR, SYOSSET, NY 11791-5123
(718) 501-7859
Mailing address
47 STUART DR, SYOSSET, NY 11791-5123
(718) 501-7859
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/15/2021
Last updated
03/15/2021
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