Organization
JUBIL MALIECKAL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUBIL MALIECKAL MD (PRESIDENT)
(718) 789-7100
Entity
Organization
Contact information
Practice address
242 DEKALB AVE, BROOKLYN, NY 11205-4118
(718) 789-7100
(718) 789-7101
Mailing address
242 DEKALB AVE, BROOKLYN, NY 11205-4118
(718) 789-7100
(718) 789-7101
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
136676
NY
207RN0300X
Nephrology Physician
Primary
136676
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00736732
—
NY
Enumeration date
04/06/2011
Last updated
09/26/2011
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