# TELA-NP IN ADULT HEALTH AND PSYCHIATRIC SERVICES PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831733120
- **Authorized official:** MELISSA MADALONE NP (OWNER)
- **Authorized official phone:** (718) 687-2987

## Contact information

- **Practice address:** 198 WILLOWBROOK RD, STATEN ISLAND, NY 10302-2447
- **Practice address phone:** (718) 687-2987
- **Mailing address:** 198 WILLOWBROOK RD, STATEN ISLAND, NY 10302-2447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/30/2019
- **Last updated:** 07/13/2020