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Shaniece Malloy
NPI 1043785868 · on the registry since 2018 · sole proprietor
Practice
- Address
- 89 E 11th St
Huntington Station, NY 11746 - Phone
- (516) 943-8334
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Also registered as
- 164W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-08-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York