Individual
CHRISTINA MALLILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-0100
Mailing address
8 BLOSSOM LN, LEVITTOWN, NY 11756-4015
(516) 315-7754
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
306257
NY
Other
Enumeration date
12/30/2013
Last updated
06/02/2014
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