Individual
EDMUND MALU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13559 231ST ST, LAURELTON, NY 11413-2533
(347) 592-4203
Mailing address
13559 231ST ST, LAURELTON, NY 11413-2533
(347) 592-4203
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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