Individual provider · Type 1 NPI

Mallory Des Champs

Medical Physician Assistant · Brooklyn, NY

NPI number 1740848985 Active

Practice location

7901 4th Ave Ste A20
Brooklyn, NY 11209-3957

Fax (718) 748-2151

Mailing address

1150 Douglas Pike
Smithfield, RI 02917-1291

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1740848985

Mallory Des Champs's National Provider Identifier is 1740848985, issued on Jun 3, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Brooklyn, NY. The record was last updated on Dec 23, 2019.