Doctor Name: | DR. STANLEY MALKIN |
NPI Number: | 1093785727 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | NJ SID2249 |
Business Practice Address: | 1814 E 2nd St Scotch Plains, NJ - 070761751 |
Business Phone Number: | 9083226611 |
Business Fax Number: | 9082263001 |
Mailing Address: | 140 Cedar Rd, WATCHUNG |
State: | NJ |
Postal Code: | 070695919 |
Phone Number: | 9086681515 |
Fax Number: | |
NPI Enumeration Date: | 01/25/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | NJ SID2249 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |