Provider Demographics
NPI:1780226308
Name:MALINSKAYA, YEKATERINA (PHARMD)
Entity Type:Individual
Prefix:
First Name:YEKATERINA
Middle Name:
Last Name:MALINSKAYA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 W 31ST ST APT 4K
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-4625
Mailing Address - Country:US
Mailing Address - Phone:917-224-1080
Mailing Address - Fax:
Practice Address - Street 1:165 ERIE ST
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-1717
Practice Address - Country:US
Practice Address - Phone:201-963-1903
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-15
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03988900183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist