NURSE PRACTITIONER IN PSYCHIATRY NPI 1730610510

NPI Information

  • NPI: 1730610510
  • Provider Name: NURSE PRACTITIONER IN PSYCHIATRY
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 587 MAIN ST
    SUITE 110A
    NEW YORK MILLS, NY
    ZIP 13417
  • Phone: (315) 723-6031

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NPI Details

NURSE PRACTITIONER IN PSYCHIATRY is a mental health (including community mental health center) clinic center in New York Mills, NY. NURSE PRACTITIONER IN PSYCHIATRY NPI is 1730610510. The provider is registered as an organization entity type.

The provider's business location address is:

587 MAIN ST
SUITE 110A
NEW YORK MILLS, NY
ZIP 13417-431
Phone: (315) 723-6031
Fax: (315) 507-5823

The provider's authorized official is Robert Sharpe .
The authorized official title is President and has the following contact phone number (315) 723-6031.

The enumeration date for this NPI number is 3/23/2017 and was last updated on 5/9/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)F401417NEW YORKYes

What is NPI?

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This page was last updated on: 11/21/2025

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