Individual
MALLORY LIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
325 W 15TH ST, NEW YORK, NY 10011-5903
(212) 604-6059
Mailing address
104 DIXIELAND TRL, CARY, NC 27519-5569
(919) 601-9733
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308204
NY
Other
Enumeration date
07/25/2017
Last updated
11/29/2021
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