Individual
DR. ANGEL LUIS MALAVET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 CENTER WAY, CORNING, NY 14830-2255
(607) 936-9971
(607) 936-2600
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200024-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015359930001
—
PA
05
—
01575011
—
NY
01
—
110224589
RR MEDICARE PIN
NY
01
—
CC8362
RR MEDICARE GROUP
NY
Enumeration date
01/30/2006
Last updated
03/05/2021
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