Organization
TELA-NP IN ADULT HEALTH AND PSYCHIATRIC SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA MADALONE NP (OWNER)
(718) 687-2987
Entity
Organization
Contact information
Practice address
198 WILLOWBROOK RD, STATEN ISLAND, NY 10302-2447
(718) 687-2987
Mailing address
198 WILLOWBROOK RD, STATEN ISLAND, NY 10302-2447
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/30/2019
Last updated
07/13/2020
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