Dr JONATHAN MALLEN MD is a male medical professional, specializing in Orthopedic Surgery. He graduated in 1998 from New York Medical College.
ORTHOPAEDIC AND SPORTS ASSOCIATES OF LONG ISLAND, PC
205 FROEHLICH FARM BLVD
WOODBURY
NY
117972931
Tel: 6313640070
| Npi | 1588663140 |
| Pac Id | 0840276366 |
| Professional Enrollment Id | I20040823000373 |
| Last Name | MALLEN |
| First Name | JONATHAN |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | NEW YORK MEDICAL COLLEGE |
| Graduation Year | 1998 |
| Primary Specialty | ORTHOPEDIC SURGERY |
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| Organization Legal Name | ORTHOPAEDIC AND SPORTS ASSOCIATES OF LONG ISLAND, PC |
| Group Practice Pac Id | 9133010952 |
| Number Of Group Practice Members | 7 |
| Line 1 Street Address | 205 FROEHLICH FARM BLVD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | WOODBURY |
| State | NY |
| Zip Code | 117972931 |
| Phone Number | 6313640070 |
| Hospital Affiliation Ccn 1 | 330331 |
| Hospital Affiliation Lbn 1 | PLAINVIEW HOSPITAL |
| Hospital Affiliation Ccn 2 | 330106 |
| Hospital Affiliation Lbn 2 | NS/LIJ HS-NORTH SHORE UNIVERSITY HOSPITAL AT MANHASSET |
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| Professional Accepts Medicare Assignment | Y |
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