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Organization
DEEPA MALIECKAL MD PC
Active
Organization
DEEPA MALIECKAL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPA MALIECKAL MD (MEDICAL DOCTOR/OWNER)
(718) 789-7100
Entity
Organization
Contact information
Practice address
242 DEKALB AVE FL 2, BROOKLYN, NY 11205-4118
(718) 789-7100
(718) 789-7101
Mailing address
242 DEKALB AVE FL 2, BROOKLYN, NY 11205-4118
(718) 789-7100
(718) 789-7101
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/18/2017
Last updated
08/22/2017
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