Dr. Laurie Herzig Mallery
Internal Medicine, Geriatric Medicine in Brooklyn, NY. Individual provider (NPI-1).
NPI number1235877366
StatusActive
Last updated in NPPESMay 27, 2022
Details
- NPI
- 1235877366
- Entity type
- Individual (NPI-1)
- Name
- Dr. Laurie Herzig Mallery
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 27, 2022
- Certification date
- May 13, 2022
- Last updated
- May 27, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0300X | Internal Medicine, Geriatric Medicine | 316843 | NY | Yes |
Practice location
285 Nostrand Ave # 1086Brooklyn, NY 11216-4500
Phone 902-471-9781
Mailing address
5841 Chain Rock DriveHalifax, NOVA SCOTIA B3H1a2
Canada
Other practice locations
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