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Woodbridge Nurse Practitioner In Psychiatry Pllc
Adult Mental Health Clinic/Center in Lockport, New York
NPI 1780168732

Woodbridge Nurse Practitioner In Psychiatry Pllc is an Adult Mental Health Clinic/Center based in Lockport, NY and is specialized in Adult Mental Health. Woodbridge Nurse Practitioner In Psychiatry Pllc practices in Lockport, NY. The NPI Number for Woodbridge Nurse Practitioner In Psychiatry Pllc is 1780168732 and holds a License No. (New York).

The current practice location address for Woodbridge Nurse Practitioner In Psychiatry Pllc is 680 Davison Road, Lockport, NY and can be reached out via phone at 716-940-8565.

Location: 680 Davison Road, Lockport, NY, 14094
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780168732
Provider Name
Woodbridge Nurse Practitioner In Psychiatry Pllc
Credential
Provider Entity Type
Organization
Address
680 Davison Road, Lockport, NY, 14094
Phone Number
716-940-8565
Fax Number
Provider Enumeration Date
09/17/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5179127 01 NY NYS DEPT OF STATE
institution
Provider Business Practice Location Address Details
Address
680 Davison Road
City
Lockport
State
New York
Zip
14094
Phone Number
716-940-8565
Fax Number
person
Provider Business Mailing Address Details
Address
680 Davison Road
City
Lockport
State
New York
Zip
14094
Phone Number
716-940-8565
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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