Individual provider · Type 1 NPI

Jason R. Mallin, MD

Specialist · New Hyde Park, NY

NPI number 1316083835 Active

Practice location

3003 New Hyde Park Rd, Suite 200
New Hyde Park, NY 11042-1214

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X212793 (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 1316083835

Jason R. Mallin, MD's National Provider Identifier is 1316083835, issued on Jan 30, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in New Hyde Park, NY. The record was last updated on Nov 18, 2009.