Individual
DR. ANTHONY F MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6 WELLNESS WAY STE 101, LATHAM, NY 12110-2156
(518) 782-7733
(518) 782-0800
Mailing address
6 WELLNESS WAY STE 201, LATHAM, NY 12110-2156
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
119952
NY
208000000X
Pediatrics Physician
119952
NY
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
119952
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00387513
—
NY
01
—
042ZC1
EMPIRE BLUECROSS
NY
01
—
091221000076
FIDELIS
NY
01
—
10001265
CDPHP
NY
01
—
143256
GHI-HMO
NY
01
—
5019456
AETNA
NY
01
—
9042525
MVP HEALTHCARE
NY
Enumeration date
04/11/2006
Last updated
02/12/2024
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