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Organization
ERICA MALLOY, PSYCHIATRIC NURSE PRACTITIONER, P.C.
Active
Organization
ERICA MALLOY, PSYCHIATRIC NURSE PRACTITIONER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA MALLOY PMHNP (OWNER)
(516) 266-6186
Entity
Organization
Contact information
Practice address
92-18 ROCKAWAY BEACH BLVD, ROCKAWAY BEACH, NY 11693
(516) 266-6186
(445) 800-8689
Mailing address
92-18 ROCKAWAY BEACH BLVD, ROCKAWAY BEACH, NY 11693
(516) 266-6186
(445) 800-8689
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
—
NULL
247ZC0005X
Clinical Laboratory Director (Non-physician)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/28/2022
Last updated
02/01/2023
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