Provider Demographics
NPI:1508923103
Name:MALKIN, VALERIE BETH (DC)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:BETH
Last Name:MALKIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 7TH AVE
Mailing Address - Street 2:SUITE #302
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019
Mailing Address - Country:US
Mailing Address - Phone:212-265-8140
Mailing Address - Fax:212-265-8143
Practice Address - Street 1:850 7TH AVE
Practice Address - Street 2:SUITE #302
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019
Practice Address - Country:US
Practice Address - Phone:212-265-8140
Practice Address - Fax:212-265-8143
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX0060841111N00000X
MA1730111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY890365OtherAETNA
NY829711Other1ST HEALTH
NYC060840OtherWORKERS COMP
NYP2098602OtherTRIAD
NYC060840OtherWORKERS COMP