SearchNew York164W00000X

Fay Malcolm

NPI 1881182251 · on the registry since 2018 · sole proprietor

Practice

Address
1959 Teehan Ln
North Baldwin, NY 11510
Phone
(516) 419-0258

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-05-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York