MS. MALLORY R DATZ
NPI 1659748143
Specialist in East Patchogue, NY

Q: What is Mallory Datz's NPI number?

The NPI number for Mallory Datz is 1659748143. It was assigned to this individual provider in the NPPES registry on August 31, 2015.

Q: What is Mallory Datz's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Mallory Datz was last updated on August 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 31, 2015

286 MUNSELL RD, EAST PATCHOGUE, NY 11772(631) 312-3770 Get Directions Write a Review

NPPES record last updated: August 31, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Mallory R Datz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MALLORY R DATZ (NPI 1659748143) is an individual specialist in East Patchogue, New York, licensed in New York (943033151) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1659748143

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameMS. MALLORY R DATZ

Location Address286 MUNSELL RDEast Patchogue, NY 11772-5616

Mailing Address286 Munsell RdEast Patchogue, NY 11772-5616 · (631) 312-3770

Phone(631) 312-3770

Sole ProprietorNo

Enumeration DateAugust 31, 2015

✔ NPI 1659748143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NY · 943033151

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

286 MUNSELL RD, East Patchogue, NY 11772

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mallory Datz's NPI number?

The NPI number for Mallory Datz is 1659748143. It was assigned to this individual provider in the NPPES registry on August 31, 2015.

Where is Mallory Datz located?

Mallory Datz practices at 286 Munsell Rd, East Patchogue, NY 11772. The listed phone number is (631) 312-3770.

What is Mallory Datz's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mallory Datz was last updated on August 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.