person
Brian Yudhistira, NP
Psychiatric/Mental Health Nurse Practitioner in Orchard Park, New York
NPI 1508442567

Brian Yudhistira is a Psychiatric/Mental Health Nurse Practitioner based in Kenmore, NY and is specialized in Psychiatric/Mental Health. Brian Yudhistira practices in Orchard Park, NY and has the professional credentials of NP. The NPI Number for Brian Yudhistira is 1508442567 and holds a License No. 752585 (New York).

The current practice location address for Brian Yudhistira is 3176 Abbott Rd Ste 800, Orchard Park, NY and can be reached out via phone at 716-391-5700 and via fax at 716-240-9878.

Location: 3176 Abbott Rd Ste 800, Orchard Park, NY, 14217-1056
person
Provider Profile Details
NPI Number
1508442567
Provider Name
Brian Yudhistira
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
3176 Abbott Rd Ste 800, Orchard Park, NY, 14217-1056
Phone Number
716-391-5700
Fax Number
716-240-9878
Provider Enumeration Date
03/21/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3176 Abbott Rd Ste 800
City
State
Zip
14127-1069
Phone Number
716-391-5700
Fax Number
716-240-9878
person
Provider Business Mailing Address Details
Address
3176 Abbott Rd Ste 800
City
State
Zip
14127-1069
Phone Number
716-391-5700
Fax Number
716-240-9878
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
403375 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
752585 (New York)
Definition
Definition to come...
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