Individual
DR. MALOUS Z MOLAVI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-2727
(516) 663-8549
Mailing address
700 HICKSVILLE RD, SUITE 204, BETHPAGE, NY 11714-3471
(516) 576-5812
(516) 576-5801
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
136253
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00537848
—
NY
Enumeration date
05/18/2006
Last updated
07/08/2007
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