Individual
MR. EDWARD GEORGE MALECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-7000
Mailing address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-7000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F403671-01
NY
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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