MALLORY DES CHAMPS


Address: 7901 4th Ave Ste A20, Brooklyn, NY 11209-3957
Phone: 7184915800

MALLORY DES CHAMPS (NPI# 1740848985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740848985
Entity Type Individual
Full Name MALLORY DES CHAMPS
Practice Address 7901 4th Ave Ste A20
Brooklyn
NY 11209-3957
Mailing Address 1150 Douglas Pike
Smithfield
RI 02917-1291
Practice Telephone 7184915800
Practice Fax Number 7187482151
Enumeration Date 2019-06-03
Last Update Date 2019-12-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 7901 4TH AVE STE A20
City BROOKLYN
State NY
Zip Code 11209-3957

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083233324 Saitta Dermatology PC Dermatology 7901 4th Ave Ste A20, Brooklyn, NY 11209-3957 2020-04-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649897737 Antar, LLC Optometrist 9714 Fourth Ave, Store Front, Brooklyn, NY 11209 2020-07-06
1184250540 Daily Strength Physical Therapy Pllc Physical Therapist 343 Marshall Drive N #2a, Brooklyn, NY 11209 2020-03-18
1306492731 Penny Planzos Dentist 7815 4th Avenue, Brooklyn, NY 11209 2019-08-12
1932660917 Kristen Elizabeth Dalelio Social Worker 9401 4th Ave Fl 1, Brooklyn, NY 11209 2019-03-30
1346706413 Yelena Lobova Specialist 7100 Ridge Blvd Apt 3c, Brooklyn, NY 11209 2019-02-13
1841781648 Ian Rugg Psychology Pllc Psychologist 545 73rd Street, Ground Floor, Brooklyn, NY 11209 2018-05-29
1194227520 Constantinos Kokkinos Social Worker 37 72nd St Apt 1, Brooklyn, NY 11209 2018-03-01
1760905186 Ankita Luthra Student in an Organized Health Care Education/Training Program 470 84th Street Brooklyn, New York, NY 11209 2017-07-18
1700308186 Griselda Marleny Rodriguez Jorge Social Worker 1 74th Street, Apt 4m, Brooklyn, NY 11209 2017-07-07
1932629854 Jonathan Dennehy Social Worker 307 West 38th Street, Suite 817, New York, NY 11209 2017-06-21
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710517305 Angenis Lin Physician Assistant 1526 83rd St, Brooklyn, NY 11228-3130 2020-01-22
1588140230 Sharon Cheptum Griesinger Physician Assistant 276 Hawthorne St Apt 1, Brooklyn, NY 11225-5908 2018-07-16
1336651629 Francine Panely Physician Assistant 460 Neptune Ave Apt 18r, Brooklyn, NY 11224-4325 2017-10-26
1265951479 Leah Mcmullen Physician Assistant 803 Nostrand Ave Apt 1l, Brooklyn, NY 11225-1539 2017-09-19
1033655378 Zacharia El-samin Physician Assistant 21 Pine Tree Ter, Brooklyn, CT 06234-3324 2017-01-10
1982156816 Chad Smartt Physician Assistant 988 E 39th St, Brooklyn, NY 11210-3508 2016-10-26
1154870913 Christina Masaitis Physician Assistant 2171 E 18th St, Apt 1c, Brooklyn, NY 11229-4468 2016-09-22
1447615737 Eliezer Gurkov Physician Assistant 888 Montgomery St, Apt F12, Brooklyn, NY 11213-5888 2015-12-31
1588039846 Inna Kremen Physician Assistant 2829 Ocean Pkwy Ste 3, Brooklyn, NY 11235-7859 2015-12-11
1801261953 Perpetue Dorilas Physician Assistant 937 E 96th St, Brooklyn, NY 11236-2303 2015-12-01
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Competitor

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City BROOKLYN
Zip Code 11209

Improve Information

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Dataset Information

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.

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