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General NPI Number Information
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NPI Number | 1114121902
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Entity Type | Individual
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Provider Name | KATHERINE MALOY MD
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Gender | Female
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 05/01/2023
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Provider Practice Location Address
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Address Line | 18 E 41ST ST FL 14
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City | NEW YORK
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State | NY
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Zip | 10017-6244
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Country | US
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Telephone | 929-299-7961
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Fax |
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Provider Business Mailing Address
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Address Line | 7802 37TH AVENUE BOX #721284
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-9065
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Country | US
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Telephone | 929-299-7961
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Fax | 347-269-4243
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 241954
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 241954
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License Number State | NY
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