MS. MALLORY R DATZ NPI 1659748143

NPI Information

NPI: 1659748143
Provider Name: MS. MALLORY R DATZ
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
286 MUNSELL RD
EAST PATCHOGUE, NY
ZIP 11772
Phone: (631) 312-3770
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MS. Mallory R Datz is a specialist in East Patchogue, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MS. Mallory R Datz NPI is 1659748143. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

286 MUNSELL RD
EAST PATCHOGUE, NY
ZIP 11772-616
Phone: (631) 312-3770

The enumeration date for this NPI number is 8/31/2015 and was last updated on 8/31/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		943033151	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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