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Individual

DR. MALIAKAL JOSEPH ANTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8 GREENFIELD RD, SYOSSET, NY 11791
(516) 496-7900
(516) 496-2139
Mailing address
8 GREENFIELD RD, SYOSSET, NY 11791
(516) 496-7900
(516) 496-2139

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
141007
NY
207RC0000X
Cardiovascular Disease Physician
Primary
141007
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00649610
NY
Enumeration date
11/07/2006
Last updated
12/01/2009
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