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Contact Information

JO ANN M MALLO, MS RD CDN
452 WHITE HAVEN RD
GRAND ISLAND, NY14072
 Phone: 716-773-3309
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for JO ANN M MALLO · (Female)

NPI Number 1710141890
Status Active
Credentials MS RD CDN
Entity Individual
Enumeration date 07/17/2008
Last updated 07/17/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 209919
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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