Provider Demographics
NPI:1881004703
Name:MALOY, TONY (MPA)
Entity Type:Individual
Prefix:
First Name:TONY
Middle Name:
Last Name:MALOY
Suffix:
Gender:M
Credentials:MPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1077 NEW YORK AVE
Mailing Address - Street 2:C4
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-4975
Mailing Address - Country:US
Mailing Address - Phone:929-234-2534
Mailing Address - Fax:
Practice Address - Street 1:1077 NEW YORK AVE
Practice Address - Street 2:C4
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-4975
Practice Address - Country:US
Practice Address - Phone:929-234-2534
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-30
Last Update Date:2017-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver