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Kristen Mallon
NPI 1972059574 · on the registry since 2016 · sole proprietor
Practice
- Address
- 4915 Tenth Ave.
Brooklyn, NY 11219 - Phone
- (718) 283-1324
- Fax
- (718) 635-7044
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-09-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York