Kathleen Marie Malley

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

83 Clement St
Glen Cove, NY 11542-2339

Phone

(845) 608-7065

NPI assigned

Aug 25, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1831866086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 CLEMENT ST",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422339",
            "telephone_number": "845-608-7065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 CLEMENT ST",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422339",
            "telephone_number": "845-608-7065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLEY",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David C Mainenti, L. AC., DIPL. O.M.
• Justin Gene Maiorana
• Pulkit Malik, M.D.
• Urooj Kusar Malik, PHARMD
• Michelle Mary Mallalieu, M.S.P.T., C.L.T.
• Wai C Man, D.O.
• David Daniel Manevitz, D.O.
• Joseph Mangini, RPH
• Thomas Francis Mannino, MD
• Elizabeth Maria Mantis, LPN

• Specialist in Glen Cove, NY
• Providers in Glen Cove, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.