Individual
DARA YASTRZEMSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
243 DELAWARE ST, WALTON, NY 13856-1019
(607) 832-5888
(607) 832-6081
Mailing address
243 DELAWARE ST, WALTON, NY 13856-1019
(607) 832-5888
(607) 832-6081
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404147
NY
Other
Enumeration date
01/12/2022
Last updated
05/15/2024
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