Provider Demographics
NPI:1275088593
Name:MALAMUD, ALEKSANDRA (CD(DONA))
Entity Type:Individual
Prefix:
First Name:ALEKSANDRA
Middle Name:
Last Name:MALAMUD
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:SASHA
Other - Middle Name:
Other - Last Name:MALAMUD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CD(DONA)
Mailing Address - Street 1:1167 FATHER CAPODANNO BLVD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10306-6060
Mailing Address - Country:US
Mailing Address - Phone:917-589-5597
Mailing Address - Fax:
Practice Address - Street 1:1167 FATHER CAPODANNO BLVD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306-6060
Practice Address - Country:US
Practice Address - Phone:917-589-5597
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-16
Last Update Date:2016-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula