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Individual

SHAWN ELIZABETH GATES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
241 NORTH RD, POUGHKEEPSIE, NY 12601-1154
(845) 483-5000
Mailing address
19 BRADHURST AVE STE 3100N, HAWTHORNE, NY 10532-2140
(914) 909-9018
(914) 909-9028

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403394
NY

Other

Enumeration date
03/30/2021
Last updated
07/07/2021
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