Individual
MICHELLE LYNNE MALNOSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 ROE AVENUE, SUITE 4A, ELMIRA, NY 14905-1629
(607) 271-3780
(607) 271-3894
Mailing address
571 SAINT JOSEPHS BLVD FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
(607) 873-1244
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
272330
NY
207RP1001X
Pulmonary Disease Physician
Primary
272330
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03919697
—
NY
05
—
103545060
—
PA
Enumeration date
03/29/2011
Last updated
11/25/2020
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