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General NPI Number Information
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NPI Number | 1447138847
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Entity Type | Organization
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Legal Business Name | AMALIA NP IN PSYCHIATRY PC
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Dates
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Enumeration Date | 08/25/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 357 BROADWAY
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City | AMITYVILLE
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State | NY
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Zip | 11701-2748
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Country | US
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Telephone | 917-306-6054
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Fax |
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Provider Business Mailing Address
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Address Line | 106 PARK BLVD
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City | MALVERNE
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State | NY
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Zip | 11565-1717
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Country | US
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Telephone | 917-306-6054
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMALIA PER
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Credential | NP
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Telephone | 917-306-6054
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number |
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License Number State |
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