Individual
BENJAMIN MALKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
663 GOLF DR, VALLEY STREAM, NY 11581-3547
(917) 719-1238
Mailing address
663 GOLF DR, VALLEY STREAM, NY 11581-3547
(917) 719-1238
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
023666
NY
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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