Individual
EMMA MALAMUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 AVE, BROOKLYN, NY 11229
(718) 376-1004
(718) 376-6475
Mailing address
1220 AVE, BROOKLYN, NY 11229
(718) 376-1004
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006323
NY
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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