Provider Demographics
NPI:1881848976
Name:MALEK, CHAYA SARA (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CHAYA
Middle Name:SARA
Last Name:MALEK
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1019 E 21ST ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-2833
Mailing Address - Country:US
Mailing Address - Phone:718-377-7703
Mailing Address - Fax:718-676-7321
Practice Address - Street 1:1019 E 21ST ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-2833
Practice Address - Country:US
Practice Address - Phone:718-377-7703
Practice Address - Fax:718-676-7321
Is Sole Proprietor?:No
Enumeration Date:2008-11-16
Last Update Date:2008-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011569-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist