ERIC B MALLOW (NPI# 1285663609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285663609 |
| Entity Type | Individual |
| Full Name | ERIC B MALLOW |
| Credential | MD |
| Practice Address |
235 W 102nd St New York NY 10025-8400 |
| Practice Telephone | 4438256046 |
| Mailing Telephone | 4438256046 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2017-12-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
181932 | NY | Allopathic & Osteopathic Physicians |
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
MD041201E | PA | Allopathic & Osteopathic Physicians |
| Street Address |
235 W 102ND ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10025-8400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795840 | Third Eye Acupuncture P.C. | Acupuncturist | 255 West 94th Street, Apt. 6k, New York, NY 10025 | 2020-09-23 |
| 1326653882 | Clare Elizabeth Dacey | Social Worker | 251 West 98th Street, Apartment 6-b, New York, NY 10025 | 2020-09-11 |
| 1528672870 | Alexandra E Lamm | Psychologist | 50 W 96th Street, Apt 5a-d, New York, NY 10025 | 2020-09-03 |
| 1700402310 | Jean Tully | Counselor | 240 W102nd St., #22a, New York, NY 10025 | 2020-06-19 |
| 1518591692 | Ethan Arthur Baker | Acupuncturist | 309 W. 99th St., Apt. 8b, New York City, NY 10025 | 2020-02-27 |
| 1083258321 | Lisanne Godnick | Social Worker | 210 W 101 St, Nyc, NY 10025 | 2019-10-30 |
| 1558910463 | Cherry Jones | Social Worker | 440 W 114th Street, Clark 6, New York, NY 10025 | 2019-09-04 |
| 1245894674 | Westside Nutrition Pllc | Dietitian, Registered | 240 West 102nd Street, Suite 15, New York, NY 10025 | 2019-05-01 |
| 1518429380 | Nathan Yehuda Ben Agi | Student in an Organized Health Care Education/Training Program | Mt. Sinai St. Lukes, 1111 Amsterdam Avenue, New York, NY 10025 | 2019-04-02 |
| 1366913196 | Mavis H Baird | Counselor | 243 W 99th St #3e, New York, NY 10025 | 2018-12-05 |
| Find all providers in zip 10025 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740547421 | Matthew Smith-raska | Pediatrics | 525 E 68th St Rm N-506, New York, NY 10065-4870 | 2012-04-18 |
| 1376809343 | Leah I Elizondo | Pediatrics | 420 E 70th St Apt 9g, New York, NY 10021-5320 | 2012-04-04 |
| 1033353610 | Kathleen Brennan | Pediatrics | 321 W 90th St Apt 2b, New York, NY 10024-1626 | 2009-04-27 |
| 1912148040 | Heideh Husseinzadeh Matterson | Pediatrics | 550 First Ave., Nyu Langone Medical Center, New York, NY 10016 | 2009-03-19 |
| 1154581254 | Catherine L Chang | Pediatrics | 525 E. 68th Street, N-506, Division of Newborn Medicine, New York, NY 10065 | 2008-06-11 |
| 1588782262 | Thomas Patrick Hartigan | Pediatrics | Saint Vincent's Hospital Manhattan, 170 West 12th Street, New York, NY 10011 | 2007-03-27 |
| 1821162801 | Gloria Diana Wiseman | Pediatrics | 570 Fort Washington Ave, New York, NY 10033-2054 | 2006-11-20 |
| 1043307135 | William Frayer | Pediatrics | 505 E 70th St # Ht-502, New York, NY 10021-4872 | 2006-10-09 |
| 1851368823 | Marianne Garland | Pediatrics | Columbia Unversity Department Pediatrics, 3959 Broadway, New York, NY 10032 | 2006-03-08 |
| 1700852555 | Christiana Rita Farkouh | Pediatrics | Columbia University Departmt Pediatrics, 3959 Broadway, New York, NY 10032 | 2006-02-23 |
| Find all providers in NEW YORK | ||||
Please comment or provide details below to improve the information on ERIC B MALLOW.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.