Dr. Mario Supan Malonzo
M.D. | Pediatrics | Male
Dr. Mario Supan Malonzo, M.D. is a Bronx, New York based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Mario Supan Malonzo is
1012 E Gun Hill Rd, Bronx, New York - 10469-3720. He can be contacted on phone at
718-918-8850.
Dr. Mario Supan Malonzo is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Mario Supan Malonzo is
1144424862 which was assigned by NPPES on 14 Jun, 2007 and it was last updated on 08 Jul, 2007.
Dr. Mario Supan Malonzo license number is
152890 for Pediatrics (208000000X) in New York.
Dr. Mario Supan Malonzo is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Mario Supan Malonzo basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Mario Supan Malonzo |
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| Credential : | M.D. |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Mario Supan Malonzo address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1012 E Gun Hill Rd
Bronx, NY, 10469-3720
United States |
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| Phone Number : | 718-918-8850 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which 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). NPI details are as mentioned below.
| NPI Number : | 1144424862 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 14 Jun, 2007 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mario Supan Malonzo are as mentioned. Primary taxonomy code for Dr. Mario Supan Malonzo, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 152890 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Mario Supan Malonzo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00898540 | MEDICAID | NY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 56 Walworth Ave
Scarsdale, NY, 10583-1423
United States |
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| Phone Number : | 914-725-0751 |
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| Fax Number : | 914-722-1730 |
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Business Location:
Patients can refer following map for directions to
Dr. Mario Supan Malonzo practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.