Individual
BENJAMIN MALKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1784 ECHO PL, MERRICK, NY 11566-4910
(516) 406-8917
Mailing address
1784 ECHO PL, MERRICK, NY 11566-4910
(516) 406-8917
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
096749
NY
Other
Enumeration date
01/19/2021
Last updated
01/08/2024
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