Provider Demographics
NPI:1467698233
Name:BABANI, MALKA (MS, SLP-CCC)
Entity Type:Individual
Prefix:MRS
First Name:MALKA
Middle Name:
Last Name:BABANI
Suffix:
Gender:F
Credentials:MS, SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 ARCADIAN DR
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-1122
Mailing Address - Country:US
Mailing Address - Phone:845-362-3507
Mailing Address - Fax:845-362-3507
Practice Address - Street 1:22 ARCADIAN DR
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-1122
Practice Address - Country:US
Practice Address - Phone:845-362-3507
Practice Address - Fax:845-362-3507
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-29
Last Update Date:2008-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014762-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist