Healthcare Provider Details

I. General information

NPI: 1952216210
Provider Name (Legal Business Name): LYALLPURI HEALTH NP IN FAMILY HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 CALDWELL RD
VALLEY STREAM NY
11580-1911
US

IV. Provider business mailing address

23 CALDWELL RD
VALLEY STREAM NY
11580-1911
US

V. Phone/Fax

Practice location:
  • Phone: 516-866-5757
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ROBBY LYALLPURI
Title or Position: NURSE PRACTITIONER
Credential: NP
Phone: 516-666-5779