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NPI Code Detail

MEDICARE: MELISSA MALONEY

MEDICARE: MELISSA MALONEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor39553NY

General Provider Information

NPI Number : 1922932805
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA MALONEY
Provider Business Mailing Address
First Line : 73 N MAIN ST STE AND303
Second Line :
City : GLOVERSVILLE
State : NY
Zip : 12078-3044
Country : US
Telephone Number : 518-921-0552
Fax Number :
Provider Business Practice Location Address
First Line : 73 N MAIN ST STE AND303
Second Line :
City : GLOVERSVILLE
State : NY
Zip : 12078-3044
Country : US
Telephone Number : 518-921-0552
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2026
Last Update Date : 06/09/2026

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Directions to “ MELISSA MALONEY ” Practice Location

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