Individual
VIJI JOSEPH MELEDATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
38 FAWN LN, WESTBURY, NY 11590
(516) 680-3221
Mailing address
38 FAWN LN, WESTBURY, NY 11590-6528
(516) 680-3221
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402453
NY
Other
Enumeration date
05/15/2018
Last updated
01/10/2025
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