Individual
DR. KATHLEEN ANN MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP, RN
Contact information
Practice address
200 HART BLVD APT 1A, STATEN ISLAND, NY 10301-3447
(917) 804-0143
Mailing address
200 HART BLVD APT 1A, STATEN ISLAND, NY 10301-3447
(917) 804-0143
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
305102
NY
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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