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Individual

DR. JOHN H MALFETANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
24 COMPUTER DR W, STE 100, ALBANY, NY 12205-1612
(518) 689-7548
(518) 489-7548
Mailing address
24 COMPUTER DR W, STE 100, ALBANY, NY 12205-1612
(518) 689-7548
(518) 489-7548

Taxonomy

Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
154115
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00775333
NY
01
10005938
CDPHP
NY
01
110038
WELLCARE
NY
01
141811164
BLUE SHIELD NENY
NY
01
69150
MVP
NY
Enumeration date
06/29/2006
Last updated
12/14/2016
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