Individual provider · Type 1 NPI
Brandon Mallory
Student in an Organized Health Care Education/Training Program · New York, NY
NPI number
1023704582
Active
Practice location
530 E 70th St # M-124C
New York, NY 10021-9800
Mailing address
525 E 68th St # 179
New York, NY 10065-4870
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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 1023704582
Brandon Mallory's National Provider Identifier is 1023704582, issued on Apr 17, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Apr 17, 2023.