MS. Shauna L Malta

NPI #1497918411 in New Hartford, New York

Provider Information

NPI Number: 1497918411
Entity Type: Individual
Name: MS. Shauna L Malta
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Jul 9, 2008
Last Updated: Jul 9, 2008

Practice Location

Address: 2050 TILDEN AVE
Address 2: BOX 1000
City: New Hartford
State: New York
ZIP Code: 13413-3613
Phone: (315) 797-3114

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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