Provider Demographics
NPI:1831505148
Name:MALONEY, COLLIN (RPA-C)
Entity type:Individual
Prefix:
First Name:COLLIN
Middle Name:
Last Name:MALONEY
Suffix:
Gender:M
Credentials:RPA-C
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1001 W FAYETTE ST STE 400
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13204-2866
Mailing Address - Country:US
Mailing Address - Phone:315-937-3433
Mailing Address - Fax:315-470-7758
Practice Address - Street 1:739 IRVING AVE STE 340
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210-1605
Practice Address - Country:US
Practice Address - Phone:315-470-7747
Practice Address - Fax:315-470-7758
Is Sole Proprietor?:No
Enumeration Date:2014-07-08
Last Update Date:2021-03-15
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant