Individual
MS. RACHEL REAL MALLARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-3625
Mailing address
5217 VAN LOON ST APT 3, ELMHURST, NY 11373-4225
(347) 515-9467
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
006743-1
NY
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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