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DR. LAURIE R MALLIS MD
NPI 1871628800
Internal Medicine - Geriatric Medicine in Bronx, NY

Active since February 22, 2007
801 CO OP CITY BLVD, BRONX, NY 10475(718) 239-6500 Get Directions Write a Review

NPPES record last updated: December 18, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Laurie R Mallis Md NPPES

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

DR. LAURIE R MALLIS MD (NPI 1871628800) is an individual geriatric medicine provider in Bronx, New York, licensed in New York (166488-1) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1871628800
Entity TypeIndividualFemale
Primary Taxonomy207RG0300X
Provider Legal NameDR. LAURIE R MALLISCredential: MD
Location Address801 CO OP CITY BLVDBronx, NY 10475-1603
Mailing Address147 Devon Farms RdStormville, NY 12582-5269 · Fax (845) 227-2756
Phone(718) 239-6500
Sole ProprietorYes
Enumeration DateFebruary 22, 2007
Last NPPES UpdateDecember 18, 2008
✔ NPI 1871628800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in NY · 166488-1
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
801 CO OP CITY BLVD, Bronx, NY 10475
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Other Identifiers 3

Medicaid118AE1NY
Medicare ID-Type Unspecified335470NY
Medicare UPING22943NY

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARIA C RIVERA-ITURBE MD
Physical Medicine & Rehabilitation (Pain Medicine)
801 CO OP CITY BLVD
BRONX, NY 10475
Bronx County (872) 231-3162
SATWINDER SINGH MD
General Practice
801 CO OP CITY BLVD
BRONX, NY 10475
Bronx County (718) 583-7735
MST KHALEDA KHATUN MD
Internal Medicine
801 CO OP CITY BLVD
BRONX, NY 10475
Bronx County (718) 239-6699
HEBREW HOSPITAL HOME, INC.
Skilled Nursing Facility
801 CO OP CITY BLVD
BRONX, NY 10475
Bronx County (914) 681-8400
DR. ILIANA L SANCHEZ FRANCO MD
Physical Medicine & Rehabilitation (Hospice and Palliative Medicine)
801 CO OP CITY BLVD
BRONX, NY 10475
Bronx County (872) 231-3162
BAY PARK CENTER FOR NURSING AND REHABILITATION, LLC
Skilled Nursing Facility
801 CO OP CITY BLVD
BRONX, NY 10475
Bronx County (718) 239-6444
SHAHABUDDIN HAQ
Nurse Practitioner (Family)
801 CO OP CITY BLVD
BRONX, NY 10475
Bronx County (718) 239-6500
BAYPARK ADC
Clinic/Center (Adult Day Care)
801 CO OP CITY BLVD
BRONX, NY 10475
Bronx County (718) 239-6444

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 Laurie Mallis's NPI number?

The NPI number for Laurie Mallis is 1871628800. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Where is Laurie Mallis located?

Laurie Mallis practices at 801 Co Op City Blvd, Bronx, NY 10475. The listed phone number is (718) 239-6500.

What is Laurie Mallis's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

When was this NPI record last updated?

The NPPES record for Laurie Mallis was last updated on December 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.