Provider Demographics
NPI:1003204785
Name:MALEH, ESTHER M (MS, RD, CDN)
Entity Type:Individual
Prefix:MS
First Name:ESTHER
Middle Name:M
Last Name:MALEH
Suffix:
Gender:F
Credentials:MS, RD, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1236 OCEAN PKWY
Mailing Address - Street 2:APT 5C
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-5177
Mailing Address - Country:US
Mailing Address - Phone:917-294-0500
Mailing Address - Fax:
Practice Address - Street 1:1236 OCEAN PKWY
Practice Address - Street 2:APT 5C
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-5177
Practice Address - Country:US
Practice Address - Phone:917-294-0500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-02
Last Update Date:2015-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008258133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered