Provider Demographics
NPI:1770811333
Name:BLUMENKRANTZ, MALKA (MA)
Entity type:Individual
Prefix:
First Name:MALKA
Middle Name:
Last Name:BLUMENKRANTZ
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:MALKA
Other - Middle Name:
Other - Last Name:FRIEDLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA
Mailing Address - Street 1:193 KEARSING PKWY
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-2244
Mailing Address - Country:US
Mailing Address - Phone:845-573-0949
Mailing Address - Fax:
Practice Address - Street 1:193 KEARSING PKWY
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-2244
Practice Address - Country:US
Practice Address - Phone:845-573-0949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-19
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017768235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist