- Practice location
- 7901 4TH Ave Ste A20, Brooklyn, NY 11209-3957
- Phone
- 718-491-5800
- Fax
- 718-748-2151
- Last updated
- December 23, 2019
Mallory Des Champs is a Physician Assistant, Medical based in Brooklyn, NY. Mallory Des Champs practices in Brooklyn, NY. The NPI Number for Mallory Des Champs is 1740848985. The current practice location address for Mallory Des Champs is 7901 4TH Ave Ste A20, Brooklyn, NY 11209-3957 and can be reached out via phone at 718-491-5800 and via fax at 718-748-2151.
Provider Profile Details
- NPI Number
- 1740848985
- Provider Name
- Mallory Des Champs
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 7901 4TH Ave Ste A20, Brooklyn, NY 11209-3957
- Phone Number
- 718-491-5800
- Fax Number
- 718-748-2151
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 3, 2019
- Last Update Date
- December 23, 2019
- Certification Date
- December 23, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 7901 4TH Ave Ste A20
Brooklyn, NY 11209-3957 - City
- Brooklyn
- State
- New York
- Zip
- 11209-3957
- Phone Number
- 718-491-5800
- Fax Number
- 718-748-2151
Provider Business Mailing Address Details
- Address
- 1150 Douglas Pike
Smithfield, RI 02917-1291 - City
- Smithfield
- State
- RI
- Zip
- 02917-1291
License Information
- Taxonomy
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mallory Des Champs?
The NPI number of Mallory Des Champs is 1740848985. It was assigned on June 3, 2019 and is currently active in the NPPES registry.
What is the specialty of Mallory Des Champs?
Mallory Des Champs is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X).
Where does Mallory Des Champs practice?
The practice location is 7901 4TH Ave Ste A20, Brooklyn, NY 11209-3957. The office can be reached at 718-491-5800 (phone) or 718-748-2151 (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 1740848985 directly on the NPPES registry website.