Organization
SABU JOHN & MARY MALLAPPALLIL PHYSICIAN P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SABU JOHN M.D (M.D)
(917) 407-7898
Entity
Organization
Contact information
Practice address
322 LINDEN BLVD, BROOKLYN, NY 11226
(718) 282-0801
(718) 282-8284
Mailing address
826 ALBANY AVE, BROOKLYN, NY 11203-3002
(718) 282-0801
(718) 282-8284
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
217897
NY
207RC0000X
Cardiovascular Disease Physician
Primary
217897
NY
207RI0011X
Interventional Cardiology Physician
217897
NY
Other
Enumeration date
03/17/2010
Last updated
04/21/2017
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