Organization
URBAN LIGHT PSYCHIATRIC NP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD K AFFUL NPP (MANAGER)
(347) 543-4726
Entity
Organization
Contact information
Practice address
180 S BROADWAY STE 406, WHITE PLAINS, NY 10605-1820
(347) 543-4726
(914) 222-8921
Mailing address
180 S BROADWAY STE 406, WHITE PLAINS, NY 10605-1820
(347) 543-4726
(914) 222-8921
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05993242
—
NY
Enumeration date
12/07/2020
Last updated
11/04/2024
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