Mario Supan Malonzo in Scarsdale - Pediatrics
Mario Supan Malonzo - NPI 1144424862
Mario Supan Malonzo is a Pediatrics in Scarsdale, New York. Mario Supan Malonzo practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Mario Supan Malonzo is 1144424862. The last update date is 2007-07-08.
Mario Supan Malonzo's current location address is 56 Walworth Ave, Scarsdale, New York. You can contact this provider via phone number 9147250751 and fax number 9147221730. The mailing address for Mario Supan Malonzo is 56 Walworth Ave, Scarsdale, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mario Supan Malonzo |
|---|---|
| Address | 56 Walworth Ave, Scarsdale, New York |
| Phone Number | 9147250751 |
| Fax Number | 9147221730 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1144424862 |
|---|---|
| Provider Enumeration Date | 2007-06-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 56 Walworth Ave |
|---|---|
| City | Scarsdale |
| State | New York (NY) |
| Post Code | 105831423 |
| Phone Number | 9147250751 |
| Fax Number | 9147221730 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 152890 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 898540 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mario Supan Malonzo by the Centers for Medicare & Medicaid Services?
The Mario Supan Malonzo has been assigned the NPI (National Provider Identifier) 1144424862. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Mario Supan Malonzo is located?
The Mario Supan Malonzo is situated at the following address: 56 Walworth Ave, Scarsdale, NY, 105831423.
What is Mario Supan Malonzo's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mario Supan Malonzo is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1144424862 to Mario Supan Malonzo?
The Centers for Medicare & Medicaid Services assigned the 1144424862 to Mario Supan Malonzo on 2007-06-14.
As of what date were the details related to Mario Supan Malonzo most recently updated or revised?
The information pertaining to Mario Supan Malonzo, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.