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DEEPIKA MALIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
135 CROSSWAYS PARK DR STE 101, WOODBURY, NY 11797-2005
(516) 822-3911
Mailing address
825 E GATE BLVD STE 111, GARDEN CITY, NY 11530-2136

Taxonomy

Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
316968
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07241569
NY
05
1134530306
NY
Enumeration date
05/09/2014
Last updated
07/26/2024
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