Individual
MRS. MARNIE MALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
574 W END AVE, APT. 125, NEW YORK, NY 10024-2748
(773) 791-2896
Mailing address
574 W END AVE, APT. 125, NEW YORK, NY 10024-2748
(773) 791-2896
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F306526
NY
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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