MS. ELIZABETH MOORE MALCOLM ANP-BC NPI 1770648891

NPI Information

NPI: 1770648891
Provider Name: MS. ELIZABETH MOORE MALCOLM, ANP-BC
Classification: Nurse Practitioner - 363LA2200X
Specialization: Adult Health
Entity Type: Individual
Address: 4939 BRITTONFIELD PKWY. BLDG. B., SUITE 210
DR. DOUGLAS W. HALLIDAY MD, P.C.
EAST SYRACUSE, NY
ZIP 13057
Phone: (315) 471-8404

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NPI Details

MS. Elizabeth Moore Malcolm, ANP-BC is an adult health nurse practitioner in East Syracuse, NY. MS. Elizabeth Moore Malcolm, ANP-BC NPI is 1770648891. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4939 BRITTONFIELD PKWY. BLDG. B., SUITE 210
DR. DOUGLAS W. HALLIDAY MD, P.C.
EAST SYRACUSE, NY
ZIP 13057-208
Phone: (315) 471-8404
Fax: (315) 701-4877

The enumeration date for this NPI number is 12/27/2006 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	F304384-1	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2006007950	OTHER		ANCC CERTIFICATION
2	399466	OTHER	NEW YORK	MVP PROVIDER IDENTIFER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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