Individual
MR. UMER EJAZ MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 NICOLLS RD # T17-060, STONY BROOK, NY 11794-0001
(631) 444-2119
Mailing address
101 NICOLLS RD # T17-060, STONY BROOK, NY 11794-0001
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
319922
NY
208M00000X
Hospitalist Physician
054591
CT
390200000X
Student in an Organized Health Care Education/Training Program
BP10047726
TX
Other
Enumeration date
06/25/2013
Last updated
07/14/2023
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