Provider Demographics
NPI:1326288168
Name:MALBON, KATHERINE MARY (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:MARY
Last Name:MALBON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:20 PIERREPONT ST
Mailing Address - Street 2:6D
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-7206
Mailing Address - Country:US
Mailing Address - Phone:347-276-3067
Mailing Address - Fax:347-423-2994
Practice Address - Street 1:312 E 94TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-5604
Practice Address - Country:US
Practice Address - Phone:212-731-7639
Practice Address - Fax:212-423-2994
Is Sole Proprietor?:No
Enumeration Date:2009-03-05
Last Update Date:2009-03-13
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Provider Licenses
StateLicense IDTaxonomies
NY0032912080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine