Provider Demographics
NPI:1295389377
Name:MALAWER, STEVEN L (MA, CCC-A, FAAA)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:L
Last Name:MALAWER
Suffix:
Gender:M
Credentials:MA, CCC-A, FAAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 BROWERS LN
Mailing Address - Street 2:
Mailing Address - City:ROSLYN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11577-2103
Mailing Address - Country:US
Mailing Address - Phone:516-532-0262
Mailing Address - Fax:
Practice Address - Street 1:131 JERICHO TPKE STE C
Practice Address - Street 2:
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-1800
Practice Address - Country:US
Practice Address - Phone:516-294-0127
Practice Address - Fax:516-640-5115
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-28
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
237600000X
NY000500-1231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter