NPI 1003125477

Ellen Malloy

Practitioner Student in an Organized Health Care Education/Training Program Staten Island, NY

Practice location

Address: 41 Pitney Ave, Staten Island, NY 10309-1916
Phone: (718) 966-4875

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003125477
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Oct 2010
Record last updated: 1 Oct 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.