# ERICA MALLOY PSYCHIATRIC NURSE PRACTITIONER PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Valhalla Vitality
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396238127
- **Authorized official:** ERICA MALLOY NP (PRESIDENT)
- **Authorized official phone:** (516) 266-6186

## Contact information

- **Practice address:** 16 MARIETTA DR, WESTBURY, NY 11590-1134
- **Practice address phone:** (718) 459-1225
- **Mailing address:** 16 MARIETTA DR, WESTBURY, NY 11590-1134
- **Mailing address phone:** (718) 459-1225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 401461 | NY | Yes |

## Other

- **Enumeration date:** 06/06/2018
- **Last updated:** 02/22/2023