Melinda Lisa Mallis in Bronx - Physician Assistant

Melinda Lisa Mallis - NPI 1326135112

Melinda Lisa Mallis is a Physician Assistant in Bronx, New York. Melinda Lisa Mallis practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Melinda Lisa Mallis is 1326135112. The last update date is 2007-07-08.

Melinda Lisa Mallis's current location address is 111 East 210th Street, Bronx, New York. You can contact this provider via phone number 7189204459 and fax number 7185474773. The mailing address for Melinda Lisa Mallis is 111 East 210th Street, Bronx, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Melinda Lisa Mallis
Address 111 East 210th Street, Bronx, New York
Phone Number 7189204459
Fax Number 7185474773
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1326135112
Provider Enumeration Date 2006-10-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 111 East 210th Street
City Bronx
State New York (NY)
Post Code 104672554
Phone Number 7189204459
Fax Number 7185474773

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 1218
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Melinda Lisa Mallis

What is the unique identification code assigned to Melinda Lisa Mallis by the Centers for Medicare & Medicaid Services?

The Melinda Lisa Mallis has been issued the NPI (National Provider Identifier) 1326135112. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Melinda Lisa Mallis is geographically located?

The Melinda Lisa Mallis is physically situated at the following location: 111 East 210Th Street, Bronx, NY, 104672554.

What is Melinda Lisa Mallis's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Melinda Lisa Mallis is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.

When did Melinda Lisa Mallis receive its 1326135112 assignment?

The Melinda Lisa Mallis was assigned its 1326135112 on 2006-10-05, which is the date when this unique identifier was issued to the organization.

When was the information regarding Melinda Lisa Mallis, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Melinda Lisa Mallis, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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