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Contact Information

MARC MALLER, MD
700 E BRIGHTON AVENUE
SYRACUSE, NY13205
 Phone: 315-413-3279
 Fax: 315-469-6558
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MARC MALLER · (Male)

NPI # 1134222144
Status Active
Credentials MD
Entity Individual
Enumeration date 09/06/2006
Last updated 12/06/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 144029
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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