Individual
AMIE MALONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS ED
Contact information
Practice address
149 N MAIN ST, FAIRPORT, NY 14450-1434
(585) 377-2230
(585) 377-2243
Mailing address
149 N MAIN ST, FAIRPORT, NY 14450-1434
(585) 377-2230
(585) 377-2243
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
221985031
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
221985031
SPECIAL EDUCATION TEACHER
NY
Enumeration date
06/18/2012
Last updated
06/18/2012
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