Provider Demographics
NPI:1003939265
Name:MALOFF, HAROLD (DMD)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:
Last Name:MALOFF
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1008 GATES AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11221-3602
Mailing Address - Country:US
Mailing Address - Phone:718-452-1307
Mailing Address - Fax:718-919-7906
Practice Address - Street 1:1008 GATES AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11221-3602
Practice Address - Country:US
Practice Address - Phone:718-452-1307
Practice Address - Fax:718-919-7906
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0298241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice