Tanya Mallette
NPI #1639881626 in Queensbury, New York
Provider Information
- NPI Number
- 1639881626
- Entity Type
- Individual
- Name
- Tanya Mallette
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Enumeration Date
- Dec 21, 2022
- Last Updated
- Dec 21, 2022
Practice Location
- Address
- 413 BAY RD
- City
- Queensbury
- State
- New York
- ZIP Code
- 12804-1408
- Phone
- (518) 761-2025
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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