Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Mallavarapu MD

Organization Pediatrics Physician · NPI 1669606547

Mary Mallavarapu MD is a Pediatrics Physician in Pomona, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009

Practice location Address checks out

971 Route 45 Ste 112
Pomona, NY 10970-3500
Phone: (845) 354-8054
Fax: (845) 354-1807
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 121643 (NY)

Record details

NPI number1669606547
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMary Mallavarapu MD
Authorized official Anita Soares — Office Manager · (845) 354-8054
NPI enumeratedMay 7, 2009
Last updated in NPPESMay 7, 2009
Mailing address971 Route 45, Suite 112, Pomona, NY 10970-3500

Other providers in Pomona