Individual
JOANNE LOISE MALABANAN AMBROSIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
4417 VESTAL PKWY E, VESTAL, NY 13850-3556
(607) 770-7365
Mailing address
33 LEWIS RD, BINGHAMTON, NY 13905-1048
(607) 770-0025
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
312378
NY
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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