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

Individual provider Specialist · NPI 1043307077

Dr. Sanford Mallin, MD is a Specialist in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

107 Nelson Ave
Staten Island, NY 10308-2710
Phone: (718) 356-3411
Fax: (718) 356-6900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 124625 (NY)

Record details

NPI number1043307077
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 10, 2006
Last updated in NPPESOctober 1, 2016

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