Individual
PRADEEP MALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
530 1ST AVE, 7 A, NEW YORK, NY 10016-6402
(212) 263-7477
Mailing address
530 1ST AVE, 7 A, NEW YORK, NY 10016-6402
(212) 263-7477
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
218568
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02290128
—
NY
Enumeration date
09/01/2005
Last updated
02/23/2021
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