Individual
ABDUL QAYYUM MALIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
608 SCHENECTADY AVE, BROOKLYN, NY 11203-1821
(718) 469-4006
(718) 467-4004
Mailing address
1 VILLADOM CT, DIX HILLS, NY 11746-5444
(718) 469-4006
(718) 282-5577
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
187398
NY
207RC0000X
Cardiovascular Disease Physician
Primary
187398
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01298104
—
NY
Enumeration date
09/21/2005
Last updated
12/16/2009
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