Individual
DR. MAURA PEGEEN SULLIVAN-MALONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
41-40 27TH STREET, LONG ISLAND CITY, NY 11101
(718) 784-2240
(914) 965-4724
Mailing address
41-40 27TH STREET, LONG ISLAND CITY, NY 11101-4016
(718) 784-2240
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
044120
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03558707
—
NY
Enumeration date
11/09/2010
Last updated
06/15/2017
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