Provider Demographics
NPI:1407862998
Name:MALENDOWICZ, SLAWOMIR L (MD)
Entity Type:Individual
Prefix:
First Name:SLAWOMIR
Middle Name:L
Last Name:MALENDOWICZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:944 N BROADWAY
Mailing Address - Street 2:STE 102
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-1304
Mailing Address - Country:US
Mailing Address - Phone:914-423-8118
Mailing Address - Fax:914-968-5530
Practice Address - Street 1:944 N BROADWAY
Practice Address - Street 2:STE 102
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1304
Practice Address - Country:US
Practice Address - Phone:914-423-8118
Practice Address - Fax:914-968-5530
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY206325-1207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00193192OtherRAILROAD MEDICARE
P00193192OtherRAILROAD MEDICARE
851051Medicare ID - Type Unspecified