Mallore, Anastasia

Mallore, Anastasia is an individual health care provider with primary practice located at 6723 Towpath Rd , East Syracuse NY 13057-9506. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Mallore, Anastasia can be contacted via phone (315) 425-1004.

Contact Information

Primary practice address
6723 Towpath Rd East Syracuse NY 13057-9506
Phone: (315) 425-1004
Fax: (315) 422-4855
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X 1268331181 New York

Profile Details

NPI number 1538837356
LBN Legal business name Mallore, Anastasia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2021
Last updated Sep 6th, 2021 - about 3 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 1538837356 NPPES
New York Other 3715422 NYS DEPT OF EDUCATION

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