Individual
SOPHIE MALAMUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
419 PARK AVE S RM 1305, NEW YORK, NY 10016-8433
(212) 545-5400
Mailing address
471 LAFAYETTE AVE APT 2, BROOKLYN, NY 11205-4872
(917) 885-0920
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
421394
NY
Other
Enumeration date
07/23/2019
Last updated
02/23/2021
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