Mallin, Jeffrey E

Mallin, Jeffrey E is an sole proprietor health care provider with primary practice located at 3003 New Hyde Park Rd Suite 200, New Hyde Park NY 11042-1214. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Mallin, Jeffrey E can be contacted via phone (516) 488-1888.

Contact Information

Primary practice address
3003 New Hyde Park Rd Suite 200 New Hyde Park NY 11042-1214
Phone: (516) 488-1888
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 156720 New York
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 156720 New York

Profile Details

NPI number 1417920604
LBN Legal business name Mallin, Jeffrey E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2006
Last updated Mar 30th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1417920604 NPPES
New York MEDICAID 01835047

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