Individual
MARK DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
6 MARGARETTA CT, STATEN ISLAND, NY 10314-2939
(646) 287-4878
Mailing address
6 MARGARETTA CT, STATEN ISLAND, NY 10314-2939
(646) 287-4878
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F407223-01
NY
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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