Kimberly Mallon

NPI #1285107920 in Albertson, New York

Provider Information

NPI Number
1285107920
Entity Type
Individual
Name
Kimberly Mallon
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
Jan 4, 2019
Last Updated
Jan 4, 2019

Practice Location

Address
147 BETHEL RD
ZIP Code
11507-2111
Phone
(631) 889-1311

Specialties & Taxonomy Codes

Specialty
Early Intervention Provider Agency

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