Provider Demographics
NPI:1922656032
Name:BENEDICT, MALKA (SLP-CF)
Entity Type:Individual
Prefix:MRS
First Name:MALKA
Middle Name:
Last Name:BENEDICT
Suffix:
Gender:F
Credentials:SLP-CF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:198 FOSTER AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-2131
Mailing Address - Country:US
Mailing Address - Phone:718-909-3031
Mailing Address - Fax:
Practice Address - Street 1:198 FOSTER AVE APT 1
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-2131
Practice Address - Country:US
Practice Address - Phone:718-909-3031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-01
Last Update Date:2019-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program