Provider Demographics
NPI:1720226657
Name:MALKA-LEHRER, DORITE (MS)
Entity Type:Individual
Prefix:MRS
First Name:DORITE
Middle Name:
Last Name:MALKA-LEHRER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:DORITE
Other - Middle Name:
Other - Last Name:MALKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:95 SCUDDERS LN
Mailing Address - Street 2:
Mailing Address - City:GLEN HEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11545-1535
Mailing Address - Country:US
Mailing Address - Phone:516-637-5328
Mailing Address - Fax:
Practice Address - Street 1:95 SCUDDERS LN
Practice Address - Street 2:
Practice Address - City:GLEN HEAD
Practice Address - State:NY
Practice Address - Zip Code:11545-1535
Practice Address - Country:US
Practice Address - Phone:516-637-5328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-30
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYNAOtherM.S.