Individual
MALIA MADISON HOAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-2359
(212) 263-1048
Mailing address
462 1ST AVE STE 16N1-12, NEW YORK, NY 10016-9196
(212) 562-2359
(212) 263-1048
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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