Tanisha Malcom
Tanisha Malcom is a Peer Specialist in Brooklyn, New York. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
2928 W 36th StBrooklyn, NY 11224-1410
Phone: (718) 372-3300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1386301778 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 20, 2021 |
| Last updated in NPPES | November 20, 2021 |
| Certification date | November 17, 2021 |
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