NPI 1417643842

Blossom NP in Psychiatry Health Pll

Organisation Psychiatry Physician Fair Lawn, NJ

Practice location

Address: 15-01 Broadway STE 24, Fair Lawn, NJ 07410-6006
Phone: (833) 325-6766

Authorised official

Name: Daliya Anoo Chandroth
Title: Owner
Phone: (201) 214-0400

Registered specialties

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X

Other Psychiatry & Neurology providers in New Jersey →

Registry record

NPI: 1417643842
Entity type: Organization
NPI issued: 18 Apr 2023
Record last updated: 18 Apr 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.