Individual
AUDRA MALISZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4860 SENECA ST, WEST SENECA, NY 14224-3233
(716) 983-4394
Mailing address
4860 SENECA ST, WEST SENECA, NY 14224-3233
(716) 983-4394
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
256723-1
NY
Other
Enumeration date
09/16/2008
Last updated
09/16/2008
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