Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 297507 | NY |
NPI | 1003263997 |
---|---|
Provider Name | Dr. Lauren Marie Maloney |
First Address | Stony Brook, NY 11794-8350 |
Second Address | Stony Brook, NY 11794-8350 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2016 |
Last Update Date | 28/07/2020 |