DR. MALLORY SAPOFF (NPI# 1346850625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346850625 |
| Entity Type | Individual |
| Full Name | DR. MALLORY SAPOFF |
| Credential | PSYD |
| Practice Address |
68 Lloyd Ave Lynbrook NY 11563-4045 |
| Mailing Address |
79 Monroe St Apt 1s Hoboken NJ 07030-6527 |
| Practice Telephone | 5162449960 |
| Mailing Telephone | 5162449960 |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-08-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
023779 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NYS PSYCHOLOGIST LICENSE | 023779 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 79 Monroe St Apt 1s, Hoboken, NJ 070306527 | 5162449960 |
| Street Address |
68 LLOYD AVE |
| City | LYNBROOK |
| State | NY |
| Zip Code | 11563-4045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396392072 | Anisha O Jenkins | Social Worker | 33 Allen Street, Lynbrook, NY 11563 | 2019-08-19 |
| 1093377327 | Ivan Karl Levenson | Occupational Therapist | Sunrise of Lynbrook, 53 Frankling Ave, N Lynbrook, NY 11563 | 2019-07-08 |
| 1124583125 | Maria Theresa Fasano | Speech-Language Pathologist | 111 Atlantic Avenue Lynbrook School District, Lynbrook, NY 11563 | 2019-02-04 |
| 1720561509 | Marianne Muldoon | Social Worker | 326 Vincent Avenue, Lynbrook, NY 11563 | 2018-09-08 |
| 1134659972 | Jaclyn Gonsch | Specialist | 136 Stuart Street, Lynbrook, NY 11563 | 2017-06-14 |
| 1497294797 | Ryan James Doupe | Counselor | 42 Fowler Ave, Lynbrook, NY 11563 | 2017-02-20 |
| 1902261647 | Allegra Grace D'alo | Social Worker | 90 Driving Park Ave, Lynbrook, NY 11563 | 2015-12-23 |
| 1699106039 | Elizabeth Gaudet Physical Therapy, P.l.l.c. | Physical Therapist | 34 Whittier Street, Lynbrook, NY 11563 | 2013-12-11 |
| 1427496439 | Jennifer Breen | Psychologist | 303 Merrick Rd Ste 302, Lynbrook, NY 11563 | 2013-06-12 |
| 1588000640 | Kelly Patrice Gallagher | Speech-Language Pathologist | 40-20 235th St, Douglaston, NY 11563 | 2013-05-16 |
| Find all providers in zip 11563 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427496439 | Jennifer Breen | Psychologist | 303 Merrick Rd Ste 302, Lynbrook, NY 11563 | 2013-06-12 |
| 1144677469 | Comprehensive Psychological Services of Long Island, P.C. | Psychologist | 303 Merrick Rd, Suite 302, Lynbrook, NY 11563-2501 | 2016-05-17 |
| 1962821835 | Dr. Jo-anna Posner Psychologist PC | Psychologist | 365 Sunrise Hwy, Lynbrook, NY 11563-3027 | 2014-04-08 |
| 1730500554 | Sh Geriatric Psychological Services P.c . | Psychologist | 125 Ocean Ave, Lynbrook, NY 11563-1900 | 2013-12-20 |
| 1336489822 | Discover & Reflect Psychological Services | Psychologist | 200 Atlantic Ave, Lynbrook, NY 11563-3505 | 2013-02-21 |
| 1629356928 | Chrysoula Kasapis | Psychologist | 303 Merrick Rd, Suite 204, Lynbrook, NY 11563-2501 | 2011-08-03 |
| 1790921799 | Carver Wile Psychology Solutions, LLC | Psychologist | 200 Atlantic Ave, 1sr Floor Offices, Lynbrook, NY 11563-3505 | 2008-12-21 |
| 1295891620 | Paul H Abelew | Psychologist | 50 Hempstead Ave, Lynbrook, NY 11563-1614 | 2006-12-29 |
| 1720144488 | Sue Carver | Psychologist | 200 Atlantic Ave, Lynbrook, NY 11563-3505 | 2006-12-28 |
| 1720164031 | Jo-anna Posner | Psychologist | 365 Sunrise Hwy, Lynbrook, NY 11563-3027 | 2006-10-29 |
| Find all providers in LYNBROOK | ||||
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| 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.