MALLORY STAUBER (NPI# 1467762708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467762708 |
| Entity Type | Individual |
| Full Name | MALLORY STAUBER |
| Practice Address |
475 Riverside Dr Suite 730 New York NY 10115-0002 |
| Practice Telephone | 2122804473 |
| Practice Fax Number | 2122805384 |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2010-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers |
| Street Address |
475 RIVERSIDE DR SUITE 730 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10115-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235323502 | Lutheran Social Services of New York | Case Management | 475 Riverside Dr, Suite 1244, New York, NY 10115-0002 | 2007-08-30 |
| 1477097434 | Kana Kimoto | Social Worker | 475 Riverside Dr, New York, NY 10115-0002 | 2016-12-11 |
| 1811298821 | Kathy Gilbert | Speech-Language Pathologist | 475 Riverside Dr, New York, NY 10115-0002 | 2010-11-07 |
| 1518278258 | Lindsay Rice Cuomo | Speech-Language Pathologist | 475 Riverside Dr, Suite 730, New York, NY 10115-0002 | 2010-06-28 |
| 1669606869 | Abby Thelma Drucker | Nurse Practitioner | 475 Riverside Dr, Room 241, New York, NY 10115-0002 | 2009-05-04 |
| 1245407139 | Lora Tofte | Speech-Language Pathologist | 475 Riverside Dr, Suite 730, New York, NY 10115-0002 | 2008-05-11 |
| 1417128331 | Lutheran Social Services of Metropolitan New York | Voluntary or Charitable | 475 Riverside Dr, Suite 1244, New York, NY 10115-0002 | 2008-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730461641 | Andra Galanter | Occupational Therapist | 475 Riverside Dr Ste 730, New York, NY 10115-0067 | 2011-09-16 |
| 1427304708 | Heather Friedman | Contractor | 475 Riverside Dr Ste 730, New York, NY 10115-0067 | 2012-07-24 |
| 1710291778 | Sandra Gomez | Early Intervention Provider Agency | 475 Riverside Drive, Suite 730, New York, NY 10115-0797 | 2010-08-02 |
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912515263 | Keren Adler | Psychologist | 260 W 72nd St Apt 11d, New York, NY 10023-2822 | 2020-07-22 |
| 1861016263 | Jeonghae Han Jones | Psychologist | 47 W 84th St Apt 2, New York, NY 10024-4753 | 2020-06-01 |
| 1598241788 | Mary P Mulligan | Psychologist | 140 W End Ave Apt 27d, New York, NY 10023-6148 | 2018-07-11 |
| 1265920748 | Jaely J Ricciardi | Psychologist | 155 Henry St Apt 404, New York, NY 10002-6417 | 2018-04-30 |
| 1306347232 | Margot J Weinstock | Psychologist | 1095 Park Ave Apt 3b, New York, NY 10128-1154 | 2018-02-26 |
| 1487172482 | Dominique Ann Williams | Psychologist | 295 Park Ave South, Apt# 17pho, New York, NY 10010 | 2017-08-30 |
| 1477080034 | Johanna Choy | Psychologist | 333 Pearl St Apt 16d, New York, NY 10038-1653 | 2017-05-15 |
| 1649718099 | Carmen Toro Rizvi | Psychologist | 230 West 99 Street Apt 6e, New York, NY 10025 | 2017-02-06 |
| 1265892855 | Zsuzsanna Kiraly | Psychologist | 45 Columbus Ave, 717, New York, NY 10023-6917 | 2016-02-25 |
| 1023493632 | Drita Dedvukaj | Psychologist | 215 E 26th St, New York, NY 10010-1924 | 2015-07-24 |
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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.