Individual
LAURA MALICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
999 BLAKE AVE, BROOKLYN, NY 11208-3535
(718) 277-8303
(212) 277-4795
Mailing address
60 MADISON AVE, 5TH FLOOR, NEW YORK, NY 10010-1600
(212) 545-2439
(646) 312-0481
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
008187
NY
Other
Enumeration date
12/05/2014
Last updated
08/20/2019
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