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Individual

MALLORY KATHLEEN ANDERSON-DEBELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NPP

Contact information

Practice address
2452 U.S ROUTE, SUITE 206, MALTA, NY 12020-5142
(518) 292-5433
(518) 899-4930
Mailing address
2452 ROUTE 9, SUITE 206, MECHANICVILLE, NY 12118
(518) 292-5433

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401616
NY

Other

Enumeration date
07/19/2013
Last updated
01/03/2020
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