Individual
MS. AMANDA MARY MALLAHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
16450 CROSSBAY BLVD, HOWARD BEACH, NY 11414-3742
(718) 843-3366
Mailing address
58 OAKLAND AVE, APARTMENT B, LYNBROOK, NY 11563-3373
(631) 664-6968
(516) 295-2487
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
018299-1
NY
Other
Enumeration date
01/22/2015
Last updated
10/28/2015
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