Organization
ERICA MALLOY PSYCHIATRIC NURSE PRACTITIONER PC
Active
Other names
Valhalla Vitality
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA MALLOY NP (PRESIDENT)
(516) 266-6186
Entity
Organization
Contact information
Practice address
16 MARIETTA DR, WESTBURY, NY 11590-1134
(718) 459-1225
Mailing address
16 MARIETTA DR, WESTBURY, NY 11590-1134
(718) 459-1225
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401461
NY
Other
Enumeration date
06/06/2018
Last updated
02/22/2023
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