Individual ProviderDeep MalaStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address225 Front St, Binghamton, NY 13905-2474(607) 778-3930PECOS EnrollmentBased on the most recent information from CMS, provider Deep Mala does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1528592110Provider TypeIndividualFull NameMala, DeepCredentialMDGenderFemaleSole ProprietorYesEnumeration Date4/20/2017Last Updated4/20/2017Contact InformationPractice LocationPractice Address225 Front St, Binghamton, NY 13905-2474Phone(607) 778-3930FaxUnlisted FaxMailing LocationMailing Address225 Front St, Binghamton, NY 13905-2474PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer