Mallard Professional Services INC
NPI #1699455519 in Massapequa, New York
Provider Information
- NPI Number
- 1699455519
- Entity Type
- Organization
- Organization Name
- Mallard Professional Services INC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 25, 2023
- Last Updated
- Aug 2, 2023
Practice Location
- Address
- 5550 MERRICK RD
- City
- Massapequa
- State
- New York
- ZIP Code
- 11758-6238
- Phone
- (516) 814-2900
Authorized Official
- Name
- DONNA SCOCA
- Title
- CREDENTIALING
- Phone
- (631) 673-3233
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medicine |
| Internal Medicine |
| Family Medicine |
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