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Organization

NURSE PRACTITIONER IN PSYCHIATRY AND FAMILY HEALTH PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSANE HILARY FRITH-HEADLEY DNP, FNP, PMHNP (OWNER/FOUNDER)
(917) 856-3100
Entity
Organization

Contact information

Practice address
11714 228TH ST, CAMBRIA HEIGHTS, NY 11411-1720
(917) 554-5594
Mailing address
11714 228TH ST, CAMBRIA HEIGHTS, NY 11411-1720
(917) 554-5594

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
363LF0000X
Family Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
11/08/2025
Last updated
12/11/2025
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