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Daliya Anoo Chandroth
Psychiatric/Mental Health Nurse Practitioner in Fair Lawn, New Jersey
NPI 1730738428

Daliya Anoo Chandroth is a Psychiatric/Mental Health Nurse Practitioner based in Fair Lawn, NJ and is specialized in Psychiatric/Mental Health. Daliya Anoo Chandroth practices in Fair Lawn, NJ. The NPI Number for Daliya Anoo Chandroth is 1730738428 and holds a License No. F402815-01 (New Jersey).

The current practice location address for Daliya Anoo Chandroth is 15-01 Broadway Ste 24, Fair Lawn, NJ and can be reached out via phone at 201-410-8370 and via fax at 833-325-6766.

Location: 15-01 Broadway Ste 24, Fair Lawn, NJ, 07410-6006
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730738428
Provider Name
Daliya Anoo Chandroth
Credential
Provider Entity Type
Individual
Gender
Female
Address
15-01 Broadway Ste 24, Fair Lawn, NJ, 07410-6006
Phone Number
201-410-8370
Fax Number
833-325-6766
Provider Enumeration Date
09/05/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15-01 Broadway Ste 24
City
Fair Lawn
State
New Jersey
Zip
07410-6006
Phone Number
201-410-8370
Fax Number
833-325-6766
person
Provider Business Mailing Address Details
Address
15-01 Broadway Ste 24
City
Fair Lawn
State
New Jersey
Zip
07410-6006
Phone Number
201-410-8370
Fax Number
833-325-6766
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
F402815-01 (New York)
Definition
Definition to come...
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