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Individual

ANNE ELIZABETH MALCOLM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
1003 PARK ST, OGDENSBURG, NY 13669-3911
(315) 713-9090
(315) 713-9330
Mailing address
820 LAKE ST, OGDENSBURG, NY 13669-3123
(212) 203-5728

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402850
NY

Other

Enumeration date
11/18/2019
Last updated
02/25/2025
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