Provider Demographics
NPI:1700211356
Name:MALAVSKY, ESTHER (MA)
Entity Type:Individual
Prefix:MRS
First Name:ESTHER
Middle Name:
Last Name:MALAVSKY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 SHERRI LN
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-1309
Mailing Address - Country:US
Mailing Address - Phone:845-352-6123
Mailing Address - Fax:
Practice Address - Street 1:23 SHERRI LN
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-1309
Practice Address - Country:US
Practice Address - Phone:845-352-6123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-13
Last Update Date:2013-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY115247174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist