Individual
MALKA ZIDELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1835 E 15TH ST, BROOKLYN, NY 11229-2809
(718) 627-8494
(650) 471-8685
Mailing address
1835 E 15TH ST, BROOKLYN, NY 11229-2809
(718) 627-8494
(650) 471-8685
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
1496823
NY
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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