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Organization
ERICA MALLOY PSYCHIATRIC NURSE PRACTITIONER PC
Active
Organization
ERICA MALLOY PSYCHIATRIC NURSE PRACTITIONER PC
Active
Other names
Valhalla Vitality
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA MALLOY NP (PRESIDENT)
(516) 266-6186
Entity
Organization
Contact information
Practice address
16 MARIETTA DR, WESTBURY, NY 11590-1134
(718) 459-1225
Mailing address
16 MARIETTA DR, WESTBURY, NY 11590-1134
(718) 459-1225
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401461
NY
Other
Enumeration date
06/06/2018
Last updated
02/22/2023
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