Healthcare Provider Details

I. General information

NPI: 1992248454
Provider Name (Legal Business Name): MALKA SULIMANOV PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/30/2016
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 NEW LOTS AVE
BROOKLYN NY
11207-7319
US

IV. Provider business mailing address

740 NEW LOTS AVE
BROOKLYN NY
11207-7319
US

V. Phone/Fax

Practice location:
  • Phone: 718-649-0180
  • Fax: 718-649-2720
Mailing address:
  • Phone: 718-649-0180
  • Fax: 718-649-2720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number62345
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: