Southern Tier Nurse Practitioners in Psychiatry

NPI #1225725880 in Lakewood, New York

Provider Information

NPI Number: 1225725880
Entity Type: Organization
Organization Name: Southern Tier Nurse Practitioners in Psychiatry
Primary Specialty: Clinic/Center - Adult Mental Health
Enumeration Date: Apr 24, 2023
Last Updated: Apr 24, 2023

Practice Location

Address: 141 CHAUTAUQUA AVE
City: Lakewood
State: New York
ZIP Code: 14750-1278
Phone: (716) 489-8850

Authorized Official

Name: CLINTON GEORGE, PMHDNP
Title: PROVIDER
Phone: (716) 489-8850

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X	Primary

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