Individual
ASHLEY MALCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6575 KIRKVILLE RD, EAST SYRACUSE, NY 13057-9809
(315) 701-5710
Mailing address
1738 UNION ST APT 4A, BROOKLYN, NY 11213-5081
(716) 946-4729
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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