Provider Demographics
NPI:1053744615
Name:MALIK, RUBINA K (MSED)
Entity type:Individual
Prefix:MRS
First Name:RUBINA
Middle Name:K
Last Name:MALIK
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1630 41ST ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-5523
Mailing Address - Country:US
Mailing Address - Phone:718-809-9045
Mailing Address - Fax:
Practice Address - Street 1:1630 41ST ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-5523
Practice Address - Country:US
Practice Address - Phone:718-809-9045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-18
Last Update Date:2013-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency