Individual
THOMAS G MALANOWSKI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
211 ERIE ST, LITTLE VALLEY, NY 14755-1011
(716) 938-9666
(716) 938-9668
Mailing address
610 WAYNE ST, OLEAN, NY 14760-2355
(716) 372-1570
(716) 373-2096
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
000453-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02471754
—
NY
Enumeration date
01/10/2006
Last updated
07/08/2007
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