Provider Demographics
NPI:1558530857
Name:SHIRLEY A MALONEY PC
Entity Type:Organization
Organization Name:SHIRLEY A MALONEY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHLEEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCCREA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-869-2429
Mailing Address - Street 1:501 NEW KARNER ROAD
Mailing Address - Street 2:ROSEWOOD PLAZA
Mailing Address - City:COLONIE
Mailing Address - State:NY
Mailing Address - Zip Code:12205
Mailing Address - Country:US
Mailing Address - Phone:518-869-2429
Mailing Address - Fax:518-869-5939
Practice Address - Street 1:501 NEW KARNER ROAD
Practice Address - Street 2:ROSEWOOD PLAZA
Practice Address - City:COLONIE
Practice Address - State:NY
Practice Address - Zip Code:12205
Practice Address - Country:US
Practice Address - Phone:518-869-2429
Practice Address - Fax:518-869-5939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-21
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYAA0945Medicare UPIN