Individual
MALKA MERAV BANNET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
75 E NORTHFIELD RD, LIVINGSTON, NJ 07039-4532
(973) 436-1460
(973) 422-9390
Mailing address
1111 AMSTERDAM AVE, NEW YORK, NY 10025-1716
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MB10390000
NJ
207R00000X
Internal Medicine Physician
276073-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00122324700
—
NY
Enumeration date
07/11/2011
Last updated
07/09/2019
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