Provider Demographics
NPI:1669528071
Name:MALKOFF, LAURIE (MD)
Entity type:Individual
Prefix:
First Name:LAURIE
Middle Name:
Last Name:MALKOFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5 W 19TH ST
Mailing Address - Street 2:9TH FLOOR, C/O LOWER FIFTH PSYCHIATRIC
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-4216
Mailing Address - Country:US
Mailing Address - Phone:917-572-8324
Mailing Address - Fax:212-423-0584
Practice Address - Street 1:5 W 19TH ST
Practice Address - Street 2:9TH FLOOR, C/O LOWER FIFTH PSYCHIATRIC
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-4216
Practice Address - Country:US
Practice Address - Phone:917-572-8324
Practice Address - Fax:212-423-0584
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2185012084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry