Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 226591 | NY |
NPI | 1043292097 |
---|---|
Provider Name | Dr. Patrick Maloney |
First Address | Katonah, NY 10536-2810 |
Second Address | Scarsdale, NY 10583-4052 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2005 |
Last Update Date | 11/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I22337 | (02) | NY |