Individual
LEE ANN MALSEPTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
80 SHARRON AVE, PLATTSBURGH, NY 12901-4700
(518) 561-1447
Mailing address
76 GLENRIDGE RD, GLENVILLE, NY 12302-4522
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
508313
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01420795
—
NY
05
—
01420800
—
NY
Enumeration date
07/31/2019
Last updated
04/28/2021
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