Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | TUV005942 | NY |
NPI | 1013141258 |
---|---|
Provider Name | Dr. Michelle Lee Malawer |
First Address | New York, NY 10022-2907 |
Second Address | New York, NY 10022-2907 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2009 |
Last Update Date | 01/05/2009 |