DR. SUANNE GARBER MALLENBAUM MD PHD NPI 1295757177

NPI Information

  • NPI: 1295757177
  • Provider Name: DR. SUANNE GARBER MALLENBAUM, MD, PHD
  • Classification: Psychiatry & Neurology - 2084P0005X
  • Specialization: Neurodevelopmental Disabilities
  • Entity Type: Individual
  • Address: 1 WEST AVE
    SUITE 215
    LARCHMONT, NY
    ZIP 10538
  • Phone: (914) 834-4379

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NPI Details

DR. Suanne Garber Mallenbaum, MD, PHD is a neurodevelopmental disabilities psychiatry neurology in Larchmont, NY. The provider is a neurologist who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions. DR. Suanne Garber Mallenbaum, MD, PHD NPI is 1295757177. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 WEST AVE
SUITE 215
LARCHMONT, NY
ZIP 10538-470
Phone: (914) 834-4379
Fax: (914) 381-2633

The enumeration date for this NPI number is 7/23/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0005XPsychiatry & NeurologyNeurodevelopmental Disabilities183699NEW YORKYes
22084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry183699NEW YORKX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G38184MEDICARE UPINNEW YORK
248M01MEDICARE ID-TYPE UNSPECIFIEDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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