Dr. Sanford Mallin, MD
Specialist in Staten Island, New York
1043307077- Practice location
- 107 Nelson Ave, Staten Island, NY 10308-2710
- Phone
- 718-356-3411
- Fax
- 718-356-6900
- Last updated
- October 1, 2016
Sanford Mallin is a Specialist based in Staten Island, NY. Sanford Mallin practices in Staten Island, NY and has the professional credentials of MD. The NPI Number for Sanford Mallin is 1043307077 and holds a License No. 124625 (NY). The current practice location address for Sanford Mallin is 107 Nelson Ave, Staten Island, NY 10308-2710 and can be reached out via phone at 718-356-3411 and via fax at 718-356-6900.
Provider Profile Details
- NPI Number
- 1043307077
- Provider Name
- Sanford Mallin
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 107 Nelson Ave, Staten Island, NY 10308-2710
- Phone Number
- 718-356-3411
- Fax Number
- 718-356-6900
- Primary Taxonomy
- Specialist · 174400000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 10, 2006
- Last Update Date
- October 1, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 107 Nelson Ave
Staten Island, NY 10308-2710 - City
- Staten Island
- State
- New York
- Zip
- 10308-2710
- Phone Number
- 718-356-3411
- Fax Number
- 718-356-6900
Provider Business Mailing Address Details
- Address
- 107 Nelson Ave
Staten Island, NY 10308-2710 - City
- Staten Island
- State
- NY
- Zip
- 10308-2710
- Phone Number
- 718-356-3411
- Fax Number
- 718-356-6900
License Information
- License Number
- 124625
- License State
- NY
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialists near Staten Island, NY
View all Specialists in Staten Island →Frequently Asked Questions
What is the NPI number of Dr. Sanford Mallin, MD?
The NPI number of Dr. Sanford Mallin, MD is 1043307077. It was assigned on October 10, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Sanford Mallin, MD?
Dr. Sanford Mallin, MD is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number 124625.
Where does Dr. Sanford Mallin, MD practice?
The practice location is 107 Nelson Ave, Staten Island, NY 10308-2710. The office can be reached at 718-356-3411 (phone) or 718-356-6900 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043307077 directly on the NPPES registry website.