Individual
DAVID MALDOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 DATES DR, ITHACA, NY 14850-1342
(607) 277-3790
Mailing address
101 DATES DR, ITHACA, NY 14850-1342
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
309580
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/16/2015
Last updated
05/04/2021
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