Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 249235 | NY |
NPI | 1306075478 |
---|---|
Provider Name | Fatema Malbari |
First Address | New Hyde Park, NY 11042-1101 |
Second Address | New Hyde Park, NY 11042-1101 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2009 |
Last Update Date | 30/06/2010 |