Individual
DESIRAE MARIE MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRPA-P
Contact information
Practice address
80 STATE HIGHWAY 310 STE 1, CANTON, NY 13617-1493
(315) 386-2189
(315) 386-2435
Mailing address
1200 SANTAMONT RD, POTSDAM, NY 13676-3334
(315) 212-6943
(315) 386-2435
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
NY
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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