Madison Premo

NPI #1972338317 in Malone, New York

Provider Information

NPI Number: 1972338317
Entity Type: Individual
Name: Madison Premo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Sep 5, 2024
Last Updated: Oct 1, 2025

Practice Location

Address: 31 6TH ST
City: Malone
State: New York
ZIP Code: 12953-1246
Phone: (518) 483-3261

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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