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1588663140
JONATHAN R MALLEN
ROCKVILLE CENTRE, NY
NPI
1588663140
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207XX0005X Orthopaedic Surgery, Sports Medicine
(Licence: NY 217086)
Enumeration Date
2005-07-18
Last Update Date
2013-11-13
Business Address
-- JONATHAN R MALLEN MD
36 LINCOLN AVE
ROCKVILLE CENTRE, NY 11570-5768
Phone number: 516-536-2800
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Mailing Address
-- JONATHAN R MALLEN MD
165 N VILLAGE AVE SUITE 128
ROCKVILLE CENTRE, NY 11570-3761
Phone number: 516-536-2800
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