Individual
KRISTIN MALAMUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
328 MINEOLA BLVD, MINEOLA, NY 11501
(516) 314-0029
Mailing address
800 JACKSON ST APT 307, HOBOKEN, NJ 07030-9230
(516) 314-0029
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
580540
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
514476
NY
Other
Enumeration date
03/01/2017
Last updated
08/09/2018
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