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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)
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
03/28/2022
Last updated
02/01/2023
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