Organization
MALO CLINICAL CENTER FOR AMBULATORY SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIOT PELLMAN M. D. (MEDICAL DIRECTOR)
(516) 622-6000
Entity
Organization
Contact information
Practice address
201 ROUTE 17, 12TH FLOOR, RUTHERFORD, NJ 07070-2574
(201) 372-1689
(516) 622-2914
Mailing address
1 DAKOTA DR, SUITE 320, NEW HYDE PARK, NY 11042-1135
(516) 622-6000
(516) 622-2914
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/31/2017
Last updated
03/31/2017
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