Individual
JENNIFER M. MALPESO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 SEAVIEW AVE, SUITE 200, STATEN ISLAND, NY 10305-3419
(718) 663-6400
(718) 663-6490
Mailing address
501 SEAVIEW AVE, SUITE 200, STATEN ISLAND, NY 10305-3419
(718) 663-6400
(718) 663-6490
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
101142
FL
207RC0000X
Cardiovascular Disease Physician
Primary
245600
NY
Other
Enumeration date
07/23/2008
Last updated
09/04/2019
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