Individual provider · Type 1 NPI

Avery Maltman

Surgical Physician Assistant · Bronx, NY

NPI number 1689257891 Active

Practice location

1400 Pelham Pkwy S
Bronx, NY 10461-1138

Mailing address

1400 Pelham Parkway S, Neurosurgery
Bronx, NY 10461-1138

Other practice locations

  • 1650 Shallow Creek Trl, Webster, NY 14580-9605 · (585) 831-9994

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

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About NPI 1689257891

Avery Maltman's National Provider Identifier is 1689257891, issued on May 4, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bronx, NY. The record was last updated on Apr 26, 2023.