Individual
PHILIP JAMES MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PNP
Contact information
Practice address
17115 45TH AVE, FLUSHING, NY 11358-3310
(718) 539-8908
Mailing address
17115 45TH AVE, FLUSHING, NY 11358-3310
(718) 539-8908
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401747
NY
Other
Enumeration date
03/10/2015
Last updated
03/10/2015
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