Individual
ELYSE MALABANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
43 NEW SCOTLAND AVE # MC-139, ALBANY, NY 12208-3478
(518) 262-3773
Mailing address
43 NEW SCOTLAND AVE # MC-139, ALBANY, NY 12208-3478
(518) 262-3773
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F382462
NY
363LP0200X
Pediatric Nurse Practitioner
SP014438
PA
Other
Enumeration date
01/12/2015
Last updated
11/17/2021
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