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Marguerite H Mallia
Adult Health Nurse Practitioner in Syracuse, New York
NPI 1225186588

Marguerite H Mallia is an Adult Health Nurse Practitioner based in Syracuse, NY and is specialized in Adult Health. Marguerite H Mallia practices in Syracuse, NY. The NPI Number for Marguerite H Mallia is 1225186588 and holds a License No. F303417-1 (New York).

The current practice location address for Marguerite H Mallia is 5075 W Senecatpke, Syracuse, NY and can be reached out via phone at 315-435-5511 and via fax at 315-435-5520.

Location: 5075 W Senecatpke, Syracuse, NY, 13207-1551
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Provider Profile Details
NPI Number
1225186588
Provider Name
Marguerite H Mallia
Credential
Provider Entity Type
Individual
Gender
Female
Address
5075 W Senecatpke, Syracuse, NY, 13207-1551
Phone Number
315-435-5511
Fax Number
315-435-5520
Provider Enumeration Date
01/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
F303417-1 01 NY NYS NURSE PRACT LICENSE
institution
Provider Business Practice Location Address Details
Address
5075 W Senecatpke
City
State
Zip
13215-2292
Phone Number
315-435-5511
Fax Number
315-435-5520
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Provider Business Mailing Address Details
Address
5075 W Senecatpke
City
State
Zip
13215-2292
Phone Number
315-435-5511
Fax Number
315-435-5520
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
F303417-1 (New York)
Definition
Definition to come...
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