Individual
MS. MAUREEN ANN MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
50 ROUTE 25A, SMITHTOWN, NY 11787-1348
(631) 862-3000
Mailing address
535 ELWOOD RD, EAST NORTHPORT, NY 11731-4806
(631) 368-0743
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
304441
NY
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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