Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 024654 | NY |
Y | 103TC0700X | Clinical Psychologist | 024654 | NY |
NPI | 1003571761 |
---|---|
Provider Name | Dr. Malliga Obilisundar Delaney |
First Address | Seaford, NY 11783-2952 |
Second Address | Seaford, NY 11783-2952 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2021 |
Last Update Date | 07/11/2021 |