Individual
MRS. IRENE MALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
525 E 68TH ST # M404, NEW YORK, NY 10021-4870
(212) 746-5150
Mailing address
21 FARRAGUT SQ, FREEHOLD, NJ 07728-3749
(732) 577-0534
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
430150
NY
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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