Jonathan R Mallen in Rockville Centre - Sports Medicine
Jonathan R Mallen - NPI 1588663140
Jonathan R Mallen is a Sports Medicine in Rockville Centre, New York. Jonathan R Mallen practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Jonathan R Mallen is 1588663140. The last update date is 2013-11-13.
Jonathan R Mallen's current location address is 165 N Village Ave, Rockville Centre, New York. You can contact this provider via phone number 5165362800 and fax number 5163028182. The mailing address for Jonathan R Mallen is 165 N Village Ave, Rockville Centre, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan R Mallen |
|---|---|
| Address | 165 N Village Ave, Rockville Centre, New York |
| Phone Number | 5165362800 |
| Fax Number | 5163028182 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1588663140 |
|---|---|
| Provider Enumeration Date | 2005-07-18 |
| Last Updated Date | 2013-11-13 |
Provider Mailing Address Detail
| Address | 165 N Village Ave |
|---|---|
| City | Rockville Centre |
| State | New York (NY) |
| Post Code | 115703761 |
| Phone Number | 5165362800 |
| Fax Number | 5163028182 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | 217086 |
|
Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
|
Post Comment/ Review Below
What is the Jonathan R Mallen's unique identification number?
The Jonathan R Mallen has been assigned the NPI (National Provider Identifier) Number 1588663140 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Jonathan R Mallen's facilities are situated?
The facilities of Jonathan R Mallen are physically located at the following address: 165 N Village Ave, Rockville Centre, NY, 115703761.
What is Jonathan R Mallen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jonathan R Mallen's specialized field of practice is Sports Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Xx0005X.
On what date was the 1588663140 assigned to Jonathan R Mallen?
The Jonathan R Mallen was issued its 1588663140 on 2005-07-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Jonathan R Mallen most recently updated or revised?
The details related to Jonathan R Mallen, including its address, specialty, and other relevant information, were last updated or revised on 2013-11-13.