Individual
DR. DANIELLE CHRISTINA MALKUSZ-LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2174 HEWLETT AVE, MERRICK, NY 11566-3606
(516) 858-2877
Mailing address
357 N WYOMING AVE, MASSAPEQUA, NY 11758-1521
(917) 443-5582
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
P121539
NY
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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