Individual
DIANNA MALKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 E 60TH ST STE 703TH, NEW YORK, NY 10022-1008
(212) 213-9333
Mailing address
30 E 60TH ST STE 703TH, NEW YORK, NY 10022-1008
(212) 213-9333
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
061293-01
NY
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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