| Doctor Name: | CONSTANCE DEFREEST |
| NPI Number: | 1154550127 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., N.P. |
| License Number: | F400718-1 |
| Business Practice Address: | 1285 Route 9 Suite 7b Wappingers Falls, NY - 125904993 |
| Business Phone Number: | 8456322939 |
| Business Fax Number: | 8456322940 |
| Mailing Address: | 1285 Route 9, Suite 7b WAPPINGERS FALLS |
| State: | NY |
| Postal Code: | 125904993 |
| Phone Number: | 8456322939 |
| Fax Number: | 8456322940 |
| NPI Enumeration Date: | 07/10/2009 |
| NPI Last Update Date: | 08/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | F400718-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |