Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | X010667 | NY |
NPI | 1003951286 |
---|---|
Provider Name | Dr. Josef Malkis |
First Address | New York, NY 10022-2707 |
Second Address | New York, NY 10022-2707 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2007 |
Last Update Date | 08/07/2007 |