| Dr Gregory Charles Mallo, MD | |
|
6 Technology Dr 100, East Setauket, NY 11733-4079 | |
| (631) 689-6698 | |
| (631) 751-5548 |
| Full Name | Dr Gregory Charles Mallo |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 20 Years |
| Location | 6 Technology Dr 100, East Setauket, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245412295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 280603 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| John T Mather Memorial Hospital Of Port Jefferson | Port jefferson, NY | Hospital |
| St Charles Hospital | Port jefferson, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| True North Medical Group Pc | 7012194806 | 167 |
| Entity Name | True North Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659883486 PECOS PAC ID: 7012194806 Enrollment ID: O20171229000536 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gregory Charles Mallo, MD 6 Technology Dr 100, East Setauket, NY 11733-4079 Ph: (631) 689-6698 | Dr Gregory Charles Mallo, MD 6 Technology Dr 100, East Setauket, NY 11733-4079 Ph: (631) 689-6698 |
Dr. Nicholas Divaris, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 14 Technology Dr, East Setauket, NY 11733 Phone: 631-444-4233 | |
Dr. Michael Joseph Sileo, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6 Technology Dr Ste 100, East Setauket, NY 11733 Phone: 631-689-6698 Fax: 631-751-5548 | |
Dr. James Nicholson, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 14 Technology Dr, East Setauket, NY 11733 Phone: 631-444-4233 | |
Dr. Christopher Mileto, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6 Technology Dr Ste 100, East Setauket, NY 11733 Phone: 631-689-6698 Fax: 631-751-5548 | |
Neil J Kurtz, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 6 Technology Dr, Suite 100, East Setauket, NY 11733 Phone: 631-689-6698 Fax: 631-751-5548 | |
Dr. John J Brennan, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6 Technology Dr Ste 100, East Setauket, NY 11733 Phone: 631-689-6698 Fax: 631-751-5548 | |
Megan Carroll Paulus, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 14 Technology Dr, Suite 11, East Setauket, NY 11733 Phone: 631-444-4233 Fax: 631-444-4217 |