Individual
MALLORY PAIGE CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
STONY BROOK CHILDREN'S DEPARTMENT OF PEDIATRICS, STONY BROOK, NY 11794-0001
(631) 444-2020
(631) 444-2894
Mailing address
9314 244TH ST, FLORAL PARK, NY 11001-3913
(516) 509-4634
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
315114
NY
Other
Enumeration date
03/26/2019
Last updated
06/23/2022
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