Individual
DR. PATRICK COLIN MALLOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
423 E 23RD ST, RADIOLOGY SERVICE, NEW YORK, NY 10010-5011
(212) 686-7500
Mailing address
423 E 23RD ST, RADIOLOGY SERVICE, NEW YORK, NY 10010-5011
(212) 686-7500
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
035814
CT
2085R0204X
Vascular & Interventional Radiology Physician
D37978
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003834110
—
CT
05
—
2148986
—
MA
Enumeration date
07/17/2006
Last updated
09/25/2015
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