# MALKIE JACOB

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295077717
- **Authorized official:** MRS. MALKIE JACOB (MS EDSPED)
- **Authorized official phone:** (917) 903-9886

## Contact information

- **Practice address:** 577 GRAND ST APT 302, NEW YORK, NY 10002-3587
- **Practice address phone:** (917) 903-9886
- **Mailing address:** 577 GRAND ST APT 302, NEW YORK, NY 10002-3587

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 862680 | NY | Yes |

## Other

- **Enumeration date:** 03/22/2013
- **Last updated:** 03/22/2013