Molly Jane Malone-Trim, PHYSICIAN ASSISTANT

NPI #1114172806 in Potsdam, New York

Provider Information

NPI Number: 1114172806
Entity Type: Individual
Name: Molly Jane Malone-Trim, PHYSICIAN ASSISTANT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PHYSICIAN ASSISTANT
Enumeration Date: Nov 21, 2008
Last Updated: Jul 31, 2015

Practice Location

Address: 50 LEROY ST
Address 2: ADMINISTRATIVE SERVICES
City: Potsdam
State: New York
ZIP Code: 13676-1786
Phone: (315) 212-9113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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