National Provider Identifier
Gina Malloy
Gina Malloy is listed in the NPPES registry with a primary specialty of Specialist in Big Flats, NY and a listed phone number of (631) 813-9701.
Profile Overview
- NPI
- 1619826146
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- January 27, 2026
- Last Updated
- January 27, 2026
Practice Location
- 165 Davenport RD
- Big Flats, NY 14814-7912
Phone: (631) 813-9701
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1619826146
- Entity Type
- Individual
- Last Name
- Malloy
- First Name
- Gina
- Mailing Street Address
- 165 Davenport RD
- Mailing City
- Big Flats
- Mailing State
- NY
- Mailing ZIP Code
- 14814-7912
- Mailing Country
- US
- Practice Street Address
- 165 Davenport RD
- Practice City
- Big Flats
- Practice State
- NY
- Practice ZIP Code
- 14814-7912
- Practice Country
- US
- Practice Phone
- (631) 813-9701
- Enumeration Date
- January 27, 2026
- Last Updated
- January 27, 2026
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- January 27, 2026
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)