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NPI Code Detail

MEDICARE: AMALIA NP IN PSYCHIATRY PC

MEDICARE: AMALIA NP IN PSYCHIATRY PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WP0809XAdult Psychiatric/Mental Health Registered Nurse
2163WP0808XPsychiatric/Mental Health Registered Nurse

General Provider Information

NPI Number : 1447138847
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMALIA NP IN PSYCHIATRY PC
Provider Business Mailing Address
First Line : 106 PARK BLVD
Second Line :
City : MALVERNE
State : NY
Zip : 11565-1717
Country : US
Telephone Number : 917-306-6054
Fax Number :
Provider Business Practice Location Address
First Line : 357 BROADWAY
Second Line :
City : AMITYVILLE
State : NY
Zip : 11701-2748
Country : US
Telephone Number : 917-306-6054
Fax Number :
Authorized Official
Title or Position : OWNER
Name : AMALIA PER
Credential : NP
Telephone Number : 917-306-6054
Provider Enumeration Date : 08/25/2025
Last Update Date : 12/10/2025

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