Individual
JAMILLE MALANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
535 CLINTON AVE, BROOKLYN, NY 11238-6589
(917) 410-6905
Mailing address
535 CLINTON AVE, BROOKLYN, NY 11238-6589
(909) 538-3085
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
346882
NY
Other
Enumeration date
06/09/2020
Last updated
06/17/2021
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