Individual
MALY FENELUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1275 YORK AVE BLDG S317, NEW YORK, NY 10065-6007
(212) 639-3116
Mailing address
11729 UNION TPKE, FOREST HILLS, NY 11375-6140
(917) 407-8975
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
274968
NY
Other
Enumeration date
08/26/2008
Last updated
07/21/2022
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