Individual
MAX MALITZKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
145 W 96TH ST, APT. 1F, NEW YORK, NY 10025-6403
(646) 484-6031
Mailing address
145 W 96TH ST, APT. 1F, NEW YORK, NY 10025-6403
(646) 484-6031
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
000897
NY
103TC0700X
Clinical Psychologist
Primary
020793
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
461672082
IRS
NY
Enumeration date
07/24/2013
Last updated
06/10/2019
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