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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MALLORY ENG BURGER, MS, CPNP

Active

MALLORY ENG BURGER, MS, CPNP is a Pediatric Nurse Practitioner healthcare provider located in NEW SQUARE, New York. NPI 1104116763 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nurse Practitioner · NEW SQUARE, NY

Registration Details

NPI Number
1104116763
Provider Type
Individual
Gender
Female
NPI Issued
Apr 15, 2011 (15.344962086464 yrs)
Last Updated
Oct 12, 2012
Licenses
R195051 (MD)
R195051 (MD)
617014 (NY)
382293 (NY)

Practice Information

Address
728 N MAIN ST
NEW SQUARE, NY, 109778916
Browse NY providers · Browse ZIP 10977
Phone
8453549033
Primary Specialty
Pediatric Nurse Practitioner
363LP0200X
Additional Specialty
Registered Nurse
Additional Specialty
Registered Nurse
Additional Specialty
Pediatric Nurse Practitioner

Other Pediatric Nurse Practitioner Providers in NEW SQUARE, NY

Name Credential NPI
PHILANA J HENDERSON CPNP 1134896327
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.