Mallon, William Kinney

Mallon, William Kinney is an individual health care provider with primary practice located at Stony Brook Medicine Dept Of Emergency Hsc, Level 4, Room 080, Stony Brook NY 11794-8350. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Mallon, William Kinney can be contacted via phone (631) 444-2478.

Contact Information

Primary practice address
Stony Brook Medicine Dept Of Emergency Hsc, Level 4, Room 080 Stony Brook NY 11794-8350
Phone: (631) 444-2478
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 282233 New York

Profile Details

NPI number 1881635811
LBN Legal business name Mallon, William Kinney
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Nov 23rd, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881635811 NPPES
California MEDICAID 00G640550

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