Individual
MALLORY KISLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 HEMPSTEAD TPKE, LEVITTOWN, NY 11756-1315
(516) 579-3050
Mailing address
660 WHITE PLAINS RD FL ENTA4, TARRYTOWN, NY 10591-5139
(914) 984-2552
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
57002525
NY
231H00000X
Audiologist
—
—
Other
Enumeration date
07/10/2014
Last updated
06/30/2022
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