Individual
KATHERINE WEBER MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 COBB TER, ROCHESTER, NY 14620-3341
(919) 951-8572
Mailing address
119 COBB TER, ROCHESTER, NY 14620-3341
(919) 951-8572
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NA
—
Enumeration date
11/15/2021
Last updated
11/15/2021
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