Organization
VJM NP IN PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIJI MELEDATH (OWNER)
(516) 680-3221
Entity
Organization
Contact information
Practice address
38 FAWN LN, WESTBURY, NY 11590-6528
(516) 680-3221
Mailing address
38 FAWN LN, WESTBURY, NY 11590-6528
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/01/2023
Last updated
04/04/2024
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