MARIO SUPAN MALONZO

BRONX, NY
NPI1144424862
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208000000X Pediatrics
(Licence: NY  152890)
Enumeration Date2007-06-14
Last Update Date2007-07-08
Business Address
Dr. MARIO SUPAN MALONZO M.D.
1012 E GUN HILL RD
BRONX, NY 10469-3720
Phone number: 718-918-8850
Mailing Address
Dr. MARIO SUPAN MALONZO M.D.
56 WALWORTH AVE
SCARSDALE, NY 10583-1423
Phone number: 914-725-0751