Mary Mallavarapu MD

NPI #1124252705 in New City, New York

Provider Information

NPI Number: 1124252705
Entity Type: Organization
Organization Name: Mary Mallavarapu MD
Subpart: Yes (part of a larger organization)
Parent Organization: MARY MALLAVARAPU MD
Primary Specialty: Pediatrics
Enumeration Date: May 11, 2009
Last Updated: May 11, 2009

Practice Location

Address: 100 PHILLIPS HILL RD
City: New City
State: New York
ZIP Code: 10956-4134
Phone: (845) 634-0068

Authorized Official

Name: MS. ANITA SOARES, MBA
Title: OFFICE MANAGER
Phone: (845) 634-0068

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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