Individual
MALLORY JOAN BEGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 E 77TH ST, NEW YORK, NY 10075-1850
(212) 434-3000
Mailing address
100 E 77TH ST, NEW YORK, NY 10075-1850
(212) 434-3000
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
022759
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/11/2018
Last updated
02/09/2021
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