Mallen, Jonathan R

Mallen, Jonathan R is an individual health care provider with primary practice located at 36 Lincoln Ave , Rockville Centre NY 11570-5768. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Mallen, Jonathan R can be contacted via phone (516) 536-2800.

Contact Information

Primary practice address
36 Lincoln Ave Rockville Centre NY 11570-5768
Phone: (516) 536-2800
Fax: (516) 302-8182
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 217086 New York

Profile Details

NPI number 1588663140
LBN Legal business name Mallen, Jonathan R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Nov 13th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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