Individual
JESSICA FAYE MALOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
80 VANDENBURGH AVE, TROY, NY 12180-6037
(845) 863-9617
Mailing address
20 CHERRY LN, GHENT, NY 12075-1201
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001534-1
NY
Other
Enumeration date
04/04/2008
Last updated
10/18/2015
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