MEDICARE: MR. JAMES VAVAL PMHNP-BC

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	408042	NY

General Provider Information

NPI Number	:	1679431928
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAMES VAVAL PMHNP-BC

Provider Business Mailing Address
First Line	:	175 PUTNAM AVE
Second Line	:
City	:	FREEPORT
State	:	NY
Zip	:	11520-1151
Country	:	US
Telephone Number	:	917-771-8901
Fax Number	:	--

Provider Business Practice Location Address
First Line	:	175 PUTNAM AVE
Second Line	:
City	:	FREEPORT
State	:	NY
Zip	:	11520-1151
Country	:	US
Telephone Number	:	917-771-8901
Fax Number	:	--

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/21/2026

Similar Medicare Providers

1356569164 — DR. EDWARD ELSWORTH STEVENSON JR. PH. D.
Practice Location Address:

137 PUTNAM AVE
FREEPORT, NY
11520-1151

Practice Phone: 516-868-2583
Practice Fax: 516-868-6253

1225576168 — JEFFREY C. WILSON, MD, RP LLC
Practice Location Address:

1151 FREEPORT RD , #391
PITTSBURGH, PA
15238-3103

Practice Phone: 412-781-3578
Practice Fax:

1639037583 — AFEISHA KIZZYANN MODESTE HOLSEY
Practice Location Address:

178 PORTERFIELD PL
FREEPORT, NY
11520-3119

Practice Phone: 516-589-2447
Practice Fax:

1992663496 — SABINE HELENE ANOESKA DURGARAM
Practice Location Address:

660 GUY LOMBARDO AVE
FREEPORT, NY
11520-6203

Practice Phone: 347-666-3353
Practice Fax: 718-978-0032

1952269185 — ATALYIA COLEY
Practice Location Address:

52 LEXINGTON AVE
FREEPORT, NY
11520-3350

Practice Phone: 917-938-8922
Practice Fax: 917-938-8922

1659238905 — MIRETTE GABALLA PT
Practice Location Address:

9 W SUNRISE HWY
FREEPORT, NY
11520

Practice Phone: 516-585-9442
Practice Fax:

Directions to “ MR. JAMES VAVAL PMHNP-BC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.