Individual
DR. JEFFREY THOMAS RALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
451 CLARKSON AVE, EMERGENCY DEPT, BROOKLYN, NY 11203-2054
(718) 245-3131
Mailing address
7912 3RD AVE, APT 2, BROOKLYN, NY 11209-3602
(860) 214-3812
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
278694
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/16/2009
Last updated
10/23/2015
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