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Individual

NELLY GAVALAKIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN-C

Contact information

Practice address
155 POLIFLY RD STE 112, HACKENSACK, NJ 07601-1749
(201) 996-8840
(201) 441-9949
Mailing address
216 RAINBOW TER, BLACK MOUNTAIN, NC 28711-8439
(917) 757-7261

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
20050002
NJ
363LP0200X
Pediatric Nurse Practitioner
5021153
NC

Other

Enumeration date
05/19/2006
Last updated
03/26/2025
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