Individual
JOSEPH MALAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
207 WASHINGTON ST, SUITE 103, POUGHKEEPSIE, NY 12601-8111
(845) 249-2510
(845) 249-2505
Mailing address
207 WASHINGTON ST, SUITE 103, POUGHKEEPSIE, NY 12601-8111
(845) 249-2510
(845) 249-2505
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
1593591
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01160503
—
NY
Enumeration date
03/10/2006
Last updated
12/24/2014
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