Healthcare Provider Details

I. General information

NPI: 1295650398
Provider Name (Legal Business Name): REGINA MALKIEV
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

332 NASSAU BLVD
WEST HEMPSTEAD NY
11552-2831
US

IV. Provider business mailing address

332 NASSAU BLVD
WEST HEMPSTEAD NY
11552-2831
US

V. Phone/Fax

Practice location:
  • Phone: 917-528-4388
  • Fax:
Mailing address:
  • Phone: 917-528-4388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number360401
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: