License holder summary

MALONZO MARIO SUPAN is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for MALONZO MARIO SUPAN is SCARSDALE NY. This doctor license is current. The license was granted 12/31/1982 and expired on 04/30/2016.

New York

Office of the Professions

MALONZO MARIO SUPAN
Medicine (Physician, Including M Ds & D Os)
License number
152890
Date granted
12/31/1982
Date expires
04/30/2016
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
SCARSDALE NY
nymedicine.org
ID 30211575
LAST UPDATED 2026-04-01 21:54:14 UTC

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