Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | X | NY |
Y | 2080P0201X | Pediatric Allergist | 288186 | NY |
NPI | 1962843730 |
---|---|
Provider Name | Anu Mallapaty |
First Address | New York, NY 10032-1559 |
Second Address | New York, NY 10032-1559 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2013 |
Last Update Date | 14/12/2021 |