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General NPI Number Information
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NPI Number | 1235599952
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Entity Type | Organization
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Legal Business Name | Y. MALINA, MD, FAAP, P.C.
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Dates
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Enumeration Date | 02/24/2016
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Last Update Date | 02/24/2016
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Provider Practice Location Address
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Address Line | 2426 MERMAID AVE FL 1
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City | BROOKLYN
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State | NY
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Zip | 11224-2210
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Country | US
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Telephone | 718-676-2055
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Fax |
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Provider Business Mailing Address
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Address Line | 2426 MERMAID AVE FL 1
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City | BROOKLYN
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State | NY
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Zip | 11224-2210
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Country | US
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Telephone | 718-676-2055
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | YELENA MALINA
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Credential | MD
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Telephone | 718-676-2055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 235292
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License Number State | NY
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