Individual
DR. MELINDA E DELAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
410 GIDNEY AVE STOP 3, NEWBURGH, NY 12550-3764
(845) 243-0190
(845) 565-5374
Mailing address
MID-HUDSON FORENSIC PSYCHIATRIC CENTER, 2834 ROUTE 17-M, NEW HAMPTON, NY 10958
(845) 374-8700
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
019455-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03498006
—
NY
Enumeration date
01/24/2012
Last updated
04/27/2023
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