MS. Mallory R Datz
MS. Mallory R Datz is a Specialist in East Patchogue, New York. Licensed in New York. Registered with an NPI since 2015.
- Licensed in
- NY
- In the registry since
- 2015
Practice location Address checks out
286 Munsell RdEast Patchogue, NY 11772-5616
Phone: (631) 312-3770
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Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 943033151 (NY) |
|---|
Record details
| NPI number | 1659748143 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 31, 2015 |
| Last updated in NPPES | August 31, 2015 |
| Mailing address | 286 Munsell Rd, East Patchogue, NY 11772-5616 |
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