Provider Demographics
NPI:1235599952
Name:Y. MALINA, MD, FAAP, P.C.
Entity Type:Organization
Organization Name:Y. MALINA, MD, FAAP, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YELENA
Authorized Official - Middle Name:
Authorized Official - Last Name:MALINA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-676-2055
Mailing Address - Street 1:2426 MERMAID AVE FL 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-2210
Mailing Address - Country:US
Mailing Address - Phone:718-676-2055
Mailing Address - Fax:
Practice Address - Street 1:2426 MERMAID AVE FL 1
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224-2210
Practice Address - Country:US
Practice Address - Phone:718-676-2055
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-24
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY235292208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty