Provider Demographics
NPI:1285886036
Name:GORING-BRITTON, FAITH H (NP)
Entity type:Individual
Prefix:
First Name:FAITH
Middle Name:H
Last Name:GORING-BRITTON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1076 MAIN ST STE 201
Mailing Address - Street 2:
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-3607
Mailing Address - Country:US
Mailing Address - Phone:845-765-2711
Mailing Address - Fax:845-440-8389
Practice Address - Street 1:1076 MAIN ST STE 201
Practice Address - Street 2:
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-3607
Practice Address - Country:US
Practice Address - Phone:845-765-2711
Practice Address - Fax:845-440-8389
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-10
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY335732363LF0000X
NYF401675363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily