Individual
ERICA L MALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1623 KINGS HWY, BROOKLYN, NY 11229-1209
(718) 375-1200
(718) 382-3358
Mailing address
11406 FRANCIS LEWIS BLVD, CAMBRIA HEIGHTS, NY 11411-1006
(347) 366-5383
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401461
NY
Other
Enumeration date
03/06/2012
Last updated
03/24/2015
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