Individual
ATHANASIOS MALLIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 WEST 72ND STREET, SUITE LT, NEW YORK, NY 10023
(212) 787-0091
(212) 721-1636
Mailing address
15 WEST 72ND STREET, SUITE LT, NEW YORK, NY 10023
(212) 787-0091
(212) 721-1636
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
120555
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00305037
—
NY
Enumeration date
10/23/2006
Last updated
02/26/2010
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