Individual
DR. MARCI MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5 JOHNSON RD, LATHAM, NY 12110-3096
(518) 782-1181
(518) 782-9171
Mailing address
PO BOX 1849, LEWISTON, ME 04241-1849
(207) 784-2554
(207) 777-5363
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
203323
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02090664
—
NY
Enumeration date
12/06/2005
Last updated
03/20/2014
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