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Individual

ROBERT W MALIZIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1551 RICHMOND RD, SUITE 1A, STATEN ISLAND, NY 10304-2313
(718) 987-4891
(718) 987-4893
Mailing address
1551 RICHMOND RD, SUITE 1A, STATEN ISLAND, NY 10304-2313
(718) 987-4891
(718) 987-4893

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
263906
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03458468
NY
Enumeration date
06/26/2007
Last updated
07/06/2013
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