Individual provider · Type 1 NPI

Mallory Annette Hendricks, M.S.E.D.

Specialist · Bronx, NY

NPI number 1073875696 Active

Practice location

2510 Westchester Ave, Suite 102
Bronx, NY 10461-3512

Call (718) 597-5558 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X1809831 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1073875696

Mallory Annette Hendricks, M.S.E.D.'s National Provider Identifier is 1073875696, issued on Jun 10, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bronx, NY. The record was last updated on Jun 10, 2012.