Individual
DR. ANTHONY JOHN MALVASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4939 BRITTONFIELD PKWY, EAST SYRACUSE, NY 13057-9208
(315) 463-1600
Mailing address
4939 BRITTONFIELD PKWY, EAST SYRACUSE, NY 13057-9208
(315) 463-1600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
284525
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/01/2012
Last updated
10/13/2016
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