Individual provider · Type 1 NPI
Shannon Maloney, D.P.M
Foot Surgery Podiatrist · Islip, NY
NPI number
1750577276
Active
Practice location
118 Elder Rd
Islip, NY 11751-4911
Mailing address
652 Suffolk Ave, Suite 204
Brentwood, NY 11717-4391
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot Surgery Podiatrist Primary | 213ES0131X | 006240-1 (NY) |
Foot Surgery Podiatrist: Definition to come...
About NPI 1750577276
Shannon Maloney, D.P.M's National Provider Identifier is 1750577276, issued on Sep 18, 2007. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Islip, NY. The record was last updated on May 19, 2008.