Individual
JESSICA MALATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
ST JOHNS UNIVERSITY 8000 UTOPIA PKWY, ST ALBERT'S HALL RM 114, JAMAICA, NY 11439-0001
(718) 990-1417
Mailing address
ST JOHNS UNIVERSITY 8000 UTOPIA PKWY, ST ALBERT'S HALL RM 114, JAMAICA, NY 11439-0001
(718) 990-1417
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
20055120
NY
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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