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1043307077
SANFORD MALLIN
STATEN ISLAND, NY
NPI
1043307077
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NY 124625)
Enumeration Date
2006-10-10
Last Update Date
2016-10-01
Business Address
Dr. SANFORD MALLIN MD
107 NELSON AVE
STATEN ISLAND, NY 10308-2710
Phone number: 718-356-3411
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Mailing Address
Dr. SANFORD MALLIN MD
107 NELSON AVE
STATEN ISLAND, NY 10308-2710
Phone number: 718-356-3411
Copy
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