Individual
DR. MALLORY SAPOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
68 LLOYD AVE, LYNBROOK, NY 11563-4045
(516) 244-9960
Mailing address
79 MONROE ST APT 1S, HOBOKEN, NJ 07030-6527
(516) 244-9960
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
023779
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023779
NYS PSYCHOLOGIST LICENSE
NY
Enumeration date
08/03/2020
Last updated
08/03/2020
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