Organization
VEDA HOUSE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA LUCCA PHMNP-BC (NURSE PRACTITIONER IN PSYCHIATRY)
(518) 444-4482
Entity
Organization
Contact information
Practice address
6 MOUNTAIN LEDGE STE 2, WILTON, NY 12831-2539
(518) 444-4482
(518) 444-4509
Mailing address
6 MOUNTAIN LEDGE STE 2, WILTON, NY 12831-2539
(518) 444-4482
(518) 444-4509
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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