Individual
MARTINA MALEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6511 108TH ST APT 1C, FOREST HILLS, NY 11375-1829
(347) 306-1453
Mailing address
6511 108TH ST APT 1C, FOREST HILLS, NY 11375-1829
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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