Mallon, Scott Robert

Mallon, Scott Robert is an individual health care provider with primary practice located at 1688 Victory Blvd , Staten Island NY 10314-3547. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Mallon, Scott Robert can be contacted via phone (718) 815-4111.

Contact Information

Primary practice address
1688 Victory Blvd Staten Island NY 10314-3547
Phone: (718) 815-4111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 000874-1 New York

Profile Details

NPI number 1700164803
LBN Legal business name Mallon, Scott Robert
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2011
Last updated Jul 25th, 2011 - about 13 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.

Request for update

Popular Providers