Jonathan R Mallen, MD
NPI #1588663140 in Rockville Centre, New York
Provider Information
- NPI Number
- 1588663140
- Entity Type
- Individual
- Name
- Jonathan R Mallen, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Orthopaedic Surgery - Sports Medicine
- Credential
- MD
- Enumeration Date
- Jul 18, 2005
- Last Updated
- Nov 13, 2013
Practice Location
- Address
- 36 LINCOLN AVE
- City
- Rockville Centre
- State
- New York
- ZIP Code
- 11570-5768
- Phone
- (516) 536-2800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery - Sports Medicine — Sports Medicine |
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