Athanasios Mallios, M.d., P.c.

NPI 1104125541 - Internal Medicine - 207R00000X

NPI Details
NPI 1104125541
Enumeration Date 03/24/2011
Last Updated 03/24/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name ATHANASIOS ATHANASIOS
Position OWNER
Phone (212) 787-0091
Fax (212) 721-1636
Practice Location
15 W 72ND ST
SUITE 1T
NEW YORK NY, 10023-3402, US
Phone (212) 787-0091
Fax (212) 721-1636
Business Location
15 W 72ND ST
SUITE 1T
NEW YORK NY, 10023-3402, US
Phone (212) 787-0091
Fax (212) 721-1636
Toxanomy
Taxonomy Code 207R00000X
License State New York
License Number 120555
Remove 1104125541 NPI Number
 

According to our database, Athanasios Mallios, M.d., P.c. NPI is 1104125541, taxonomy code is 207R00000X and license number is 120555, license state is located at New York. Athanasios Mallios, M.d., P.c. physically located at 15 W 72nd St, New York NY, 10023-3402. NPI Number 1033115704 has the healthcare provider type.

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1104125541 NPI number is provided on an as is basis without warranty of any kind. 1104125541 is maintained by the National Plan & Provider Enumeration System. The contents of Athanasios Mallios, M.d., P.c. are for informational purposes only.