Individual provider · Type 1 NPI

Ellen Malloy

Student in an Organized Health Care Education/Training Program · Staten Island, NY

NPI number 1003125477 Active

Practice location

41 Pitney Ave
Staten Island, NY 10309-1916

Call (718) 966-4875 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003125477

Ellen Malloy's National Provider Identifier is 1003125477, issued on Oct 1, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Staten Island, NY. The record was last updated on Oct 1, 2010.