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

MS. MALLORY R DATZ

Active

MS. MALLORY R DATZ is a Specialist healthcare provider located in EAST PATCHOGUE, New York. NPI 1659748143 is currently active in the NPPES registry. Verify at CMS.

Specialist · EAST PATCHOGUE, NY

Registration Details

NPI Number
1659748143
Provider Type
Individual
Gender
Female
NPI Issued
Aug 31, 2015 (10.942962572314 yrs)
Last Updated
Aug 31, 2015
License
943033151 (NY)

Practice Information

Address
286 MUNSELL RD
EAST PATCHOGUE, NY, 117725616
Browse NY providers · Browse ZIP 11772
Phone
6313123770
Primary Specialty
Specialist
174400000X

Other Specialist Providers in EAST PATCHOGUE, NY

Name Credential NPI
MICHAEL FRIED MD 1851395628
JUNG-YONG KIM MD 1013911478
DR. SUSAN PAULA PLATKIN M.D. 1316996846
MR. GEORGE CIRESI III D.P.T. 1366484651
DR. TENG LUNG HSU M.D. 1124063466
MR. JAMES J BLAIR P.T. 1699711812
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.