Healthcare Provider Details

I. General information

NPI: 1376513028
Provider Name (Legal Business Name): HENRY F MALARKEY IV MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2006
Last Update Date: 12/05/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 STATE ST
ERIE PA
16550-1513
US

IV. Provider business mailing address

202 N BARRY ST
OLEAN NY
14760-2723
US

V. Phone/Fax

Practice location:
  • Phone: 814-877-6000
  • Fax:
Mailing address:
  • Phone: 716-372-0223
  • Fax: 716-373-7191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number222433
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD061376L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: