Individual
PATRICIA DESJARLAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
4 FULLER ST, ALEXANDRIA BAY, NY 13607-1316
(315) 482-1230
(315) 482-5553
Mailing address
4 FULLER ST, ALEXANDRIA BAY, NY 13607-1316
(315) 482-1230
(315) 482-5553
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401840
NY
Other
Enumeration date
07/09/2015
Last updated
02/04/2016
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