Provider Demographics
NPI:1578143095
Name:ACCARDI, MALVINA MARIA (DO)
Entity type:Individual
Prefix:
First Name:MALVINA
Middle Name:MARIA
Last Name:ACCARDI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:MALWINA
Other - Middle Name:MARIA
Other - Last Name:KLUSEK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:104 S VILLAGE AVE APT 1H
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-5851
Mailing Address - Country:US
Mailing Address - Phone:917-549-4065
Mailing Address - Fax:
Practice Address - Street 1:240 E 23RD ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-4602
Practice Address - Country:US
Practice Address - Phone:212-757-0222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-09
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY334534207Q00000X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine