Organization
MIND & BODY BALANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA ANN COOK NURSE PRACTITIONER (PSYCHIATRIC NP/MEMBER)
(518) 521-0023
Entity
Organization
Contact information
Practice address
209 W MAIN ST STE 204, MALONE, NY 12953-6400
(518) 521-0023
Mailing address
209 W MAIN ST STE 204, MALONE, NY 12953-6400
(518) 521-0023
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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