Individual
EZZA MALIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
455 LENOX AVE, NEW YORK, NY 10037-0982
(212) 368-2020
Mailing address
1491 SHORE PKWY APT 1G, BROOKLYN, NY 11214-6325
(718) 577-8819
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
011326
NY
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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