Malanowski, Thomas G

Malanowski, Thomas G is an individual health care provider with primary practice located at 211 Erie St , Little Valley NY 14755-1011. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Malanowski, Thomas G can be contacted via phone (716) 938-9666.

Contact Information

Primary practice address
211 Erie St Little Valley NY 14755-1011
Phone: (716) 938-9666
Fax: (716) 938-9668
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 000453-1 New York

Profile Details

NPI number 1275512220
LBN Legal business name Malanowski, Thomas G
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275512220 NPPES
New York MEDICAID 02471754

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