Individual provider · Type 1 NPI
George Isaac Mallis, MD
Cardiovascular Disease Physician · Northport, NY
NPI number
1366476475
Active
Practice location
79 Middleville Rd
Northport, NY 11768-2200
Fax (631) 754-7968
Mailing address
4 Target Rock Rd
Lloyd Harbor, NY 11743-9752
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | 97266 (NY) |
| Cardiovascular Disease Physician Primary | 207RC0000X | 97266 (NY) |
Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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About NPI 1366476475
George Isaac Mallis, MD's National Provider Identifier is 1366476475, issued on Jul 11, 2006. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Northport, NY. The record was last updated on Feb 4, 2022.