Individual provider · Type 1 NPI

Mallory Crystal Vasquez

Acute Care Nurse Practitioner · Brooklyn, NY

NPI number 1336057983 Active

Practice location

1481 Mcdonald Ave
Brooklyn, NY 11230-4667

Mailing address

44 Bement Ave
Staten Island, NY 10310-1501

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XF433682-01 (NY)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1336057983

Mallory Crystal Vasquez's National Provider Identifier is 1336057983, issued on Sep 1, 2026. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Brooklyn, NY. The record was last updated on Sep 1, 2026.