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

DR. GEORGE ISAAC MALLIS, M.D.

Active

DR. GEORGE ISAAC MALLIS, M.D. is a Cardiovascular Disease healthcare provider located in NORTHPORT, New York. NPI 1366476475 is currently active in the NPPES registry. Verify at CMS.

Cardiovascular Disease · NORTHPORT, NY

Registration Details

NPI Number
1366476475
Provider Type
Individual
Gender
Male
NPI Issued
Jul 11, 2006 (20.110813108263 yrs)
Last Updated
Feb 4, 2022
Licenses
97266 (NY)
97266 (NY)

Practice Information

Address
79 MIDDLEVILLE RD
NORTHPORT, NY, 117682200
Browse NY providers · Browse ZIP 11768
Phone
6312666047
Fax
6317547968
Primary Specialty
Cardiovascular Disease
207RC0000X
Additional Specialty
Cardiovascular Disease

Other Cardiovascular Disease Providers in NORTHPORT, NY

Name Credential NPI
DR. PAUL DIGGS MD 1417919549
DR. AMIT MITTAL MD 1134324494
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.