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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MALLORY C EDWARDS, PA-C

Active

MALLORY C EDWARDS, PA-C is a Physician Assistant healthcare provider located in GRANVILLE, New York. NPI 1467876409 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · GRANVILLE, NY

Registration Details

NPI Number
1467876409
Provider Type
Individual
Gender
Female
NPI Issued
Feb 11, 2014 (12.504020851018 yrs)
Last Updated
Apr 22, 2024
License
017372 (NY)

Practice Information

Address
79 NORTH ST
GRANVILLE, NY, 128321137
Browse NY providers · Browse ZIP 12832
Phone
5186420612
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in GRANVILLE, NY

Name Credential NPI
W MARVIN DAY PA 1174591796
MICHELLE PARBUS 1952873259
GRACE NICHOLE DEYOUNG PA-C 1912886755
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.