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Individual

DR. LYNN M MAILLOUX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
160 W 26TH ST, NEW YORK, NY 10001-6975
(646) 660-9999
Mailing address
PO BOX 95000-2454, PHILADELPHIA, PA 19195-2454
(212) 604-1800
(212) 604-1892

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
232067
NY
207RC0000X
Cardiovascular Disease Physician
Primary
232067
NY

Other

Enumeration date
04/22/2008
Last updated
03/23/2023
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