Individual
MS. AMY SUE MALAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.N.P., G.N.P.
Contact information
Practice address
100 CENTER DR, RIVERHEAD, NY 11901-3307
(631) 852-1987
(631) 852-3966
Mailing address
100 CENTER DR, RIVERHEAD, NY 11901-3307
(631) 852-1987
(631) 852-3966
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F301351-1
NY
Other
Enumeration date
01/02/2012
Last updated
01/02/2012
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