Individual
MS. JUDITH ANNE MALONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
228 SHERMAN ST, WATERTOWN, NY 13601-3612
(315) 788-9849
Mailing address
228 SHERMAN ST, WATERTOWN, NY 13601-3615
(315) 788-9849
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F303285
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F303285
LICENSE
NY
Enumeration date
11/09/2005
Last updated
05/28/2008
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