Individual
DALIYA ANOO CHANDROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15-01 BROADWAY STE 24, FAIR LAWN, NJ 07410-6006
(201) 410-8370
(833) 325-6766
Mailing address
15-01 BROADWAY STE 24, FAIR LAWN, NJ 07410-6006
(201) 410-8370
(833) 325-6766
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F402815-01
NY
Other
Enumeration date
09/05/2019
Last updated
06/03/2024
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