Individual
MARY C MALLAPPALLIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
50 SEAVIEW BLVD, PORT WASHINGTON, NY 11050-4618
(516) 484-6093
(516) 484-6180
Mailing address
50 SEAVIEW BLVD, PORT WASHINGTON, NY 11050-4618
(516) 484-6093
(516) 484-6180
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
215103-1
NY
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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