Provider Demographics
NPI:1730459066
Name:MALIN, DONALD F (PT)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:F
Last Name:MALIN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 BADAMI DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10941-1238
Mailing Address - Country:US
Mailing Address - Phone:845-692-2208
Mailing Address - Fax:845-692-2208
Practice Address - Street 1:37 BADAMI DR
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10941-1238
Practice Address - Country:US
Practice Address - Phone:845-692-2208
Practice Address - Fax:845-692-2208
Is Sole Proprietor?:No
Enumeration Date:2012-01-03
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024596225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist