Individual
MALA ASHOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1900 EMPIRE BLVD # 100, WEBSTER, NY 14580-1934
(585) 787-0720
(585) 787-9108
Mailing address
1900 EMPIRE BLVD # 100, WEBSTER, NY 14580-1934
(585) 787-0720
(585) 787-9108
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
268667
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03579540
—
NY
Enumeration date
08/20/2009
Last updated
06/29/2023
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