Individual
SAFIULLAH M MALIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD FACS
Contact information
Practice address
2223 W STATE ST, SUITE 109, OLEAN, NY 14760-1938
(716) 372-3474
(716) 372-4370
Mailing address
2223 W STATE ST, SUITE 109, OLEAN, NY 14760-1938
(716) 372-3474
(716) 372-4370
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
1584811
NY
2086S0129X
Vascular Surgery Physician
1584811
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000500459D01
COMMUNITY BLUE
NY
05
—
00891603
—
NY
01
—
10109701
UNIVERA
NY
Enumeration date
10/17/2006
Last updated
12/26/2012
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