Tanya Mallette
Tanya Mallette is a Specialist in Queensbury, New York. Licensed in New York. Registered with an NPI since 2022.
- Licensed in
- NY
- In the registry since
- 2022
Practice location Address checks out
413 Bay RdQueensbury, NY 12804-1408
Phone: (518) 761-2025
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Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 171698021 (NY) |
|---|
Record details
| NPI number | 1639881626 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 21, 2022 |
| Last updated in NPPES | December 21, 2022 |
| Certification date | December 21, 2022 |
| Mailing address | 413 Bay Rd, Queensbury, NY 12804-1408 |
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