Individual
MRS. AMY L. SCLESKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
187 PARK ST, MALONE, NY 12953-1233
(518) 481-2896
(518) 481-2788
Mailing address
133 PARK ST, MALONE, NY 12953-1244
(518) 481-2790
(518) 481-2788
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
020534
NY
363A00000X
Physician Assistant
1501025
KS
363A00000X
Physician Assistant
MA053692
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04731408
—
NY
Enumeration date
05/17/2006
Last updated
07/21/2022
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