Organization
NURSE PRACTITIONER IN PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT SHARPE NP (PRESIDENT)
(315) 723-6031
Entity
Organization
Contact information
Practice address
587 MAIN ST, SUITE 110A, NEW YORK MILLS, NY 13417-1431
(315) 723-6031
(315) 507-5823
Mailing address
#3 MILL 587 MAIN ST, SUITE 110A, NEW YORK MILLS, NY 13417-1431
(315) 723-6031
(315) 507-5823
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
F401417
NY
Other
Enumeration date
03/23/2017
Last updated
05/09/2017
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