Provider Demographics
NPI:1366634131
Name:MALSIN, LLOYD ANDREW
Entity Type:Individual
Prefix:MR
First Name:LLOYD
Middle Name:ANDREW
Last Name:MALSIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1016 FIRST AVENUE
Mailing Address - Street 2:CLAIRMONT-NICHOLS OPTICIANS
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-4107
Mailing Address - Country:US
Mailing Address - Phone:212-758-2346
Mailing Address - Fax:
Practice Address - Street 1:1016 FIRST AVENUE
Practice Address - Street 2:CLAIRMONT-NICHOLS OPTICIANS
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-4107
Practice Address - Country:US
Practice Address - Phone:212-758-2346
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-15
Last Update Date:2007-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0044421156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician