Provider Demographics
NPI:1427215185
Name:MALAGA DIEGUEZ, LAURA (MD PHD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:
Last Name:MALAGA DIEGUEZ
Suffix:
Gender:F
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 W 86TH ST
Mailing Address - Street 2:APT 3F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-3622
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:227 E 30TH ST
Practice Address - Street 2:112
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-8203
Practice Address - Country:US
Practice Address - Phone:646-501-2669
Practice Address - Fax:212-263-4053
Is Sole Proprietor?:No
Enumeration Date:2008-05-20
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2700092080P0210X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0210XAllopathic & Osteopathic PhysiciansPediatricsPediatric Nephrology