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Illuminate Np Psychiatry
Psychiatric/Mental Health Nurse Practitioner in Orchard Park, New York
NPI 1003671009

Illuminate Np Psychiatry is a Psychiatric/Mental Health Nurse Practitioner based in Orchard Park, NY and is specialized in Psychiatric/Mental Health. Illuminate Np Psychiatry practices in Orchard Park, NY. The NPI Number for Illuminate Np Psychiatry is 1003671009 and holds a License No. (New York).

The current practice location address for Illuminate Np Psychiatry is 3055 Southwestern Blvd Ste 110, Orchard Park, NY and can be reached out via phone at 716-903-6036.

Location: 3055 Southwestern Blvd Ste 110, Orchard Park, NY, 14127-1231
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003671009
Provider Name
Illuminate Np Psychiatry
Credential
Provider Entity Type
Organization
Address
3055 Southwestern Blvd Ste 110, Orchard Park, NY, 14127-1231
Phone Number
716-903-6036
Fax Number
Provider Enumeration Date
02/19/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
3055 Southwestern Blvd Ste 110
City
Orchard Park
State
New York
Zip
14127-1231
Phone Number
716-903-6036
Fax Number
person
Provider Business Mailing Address Details
Address
3055 Southwestern Blvd Ste 110
City
Orchard Park
State
New York
Zip
14127-1231
Phone Number
716-903-6036
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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