Organization
LIFT UP LIVE WELL MENTAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NERISA BRYAN APN (OWNER/APN)
(929) 486-0990
Entity
Organization
Contact information
Practice address
276 5TH AVE RM 704, NEW YORK, NY 10001-4527
(212) 918-4488
Mailing address
99 MAIN ST STE 216, NYACK, NY 10960-3109
(929) 486-0990
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/03/2023
Last updated
12/17/2025
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