Individual
MALLIKA VYAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
419 W 114TH ST, NEW YORK, NY 10025-1710
(212) 523-4000
Mailing address
1115 HARTFORD TPKE, NORTH HAVEN, CT 06473-3031
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
031799
NY
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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