| Doctor Name: | DANIEL MALPICA |
| NPI Number: | 1841609310 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 014835-1 |
| Business Practice Address: | 250 Tuytenbridge Rd Lake Katrine, NY - 124495429 |
| Business Phone Number: | 8453367235 |
| Business Fax Number: | |
| Mailing Address: | 250 Tuytenbridge Rd, LAKE KATRINE |
| State: | NY |
| Postal Code: | 124495429 |
| Phone Number: | 8453367235 |
| Fax Number: | |
| NPI Enumeration Date: | 08/08/2014 |
| NPI Last Update Date: | 10/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | 014835-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |