Individual
ANCHALA THYKKOOTTATHIL JOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7403 COMMONWEALTH BLVD, BELLEROSE, NY 11426-1839
(516) 305-0710
Mailing address
1821 NEW HYDE PARK RD, NEW HYDE PARK, NY 11040-2027
(516) 305-0710
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
665017
NY
Other
Enumeration date
10/26/2019
Last updated
05/08/2024
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